Individual
MACKENZIE H NEUVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2714 DORA AVE, TAVARES, FL 32778-4970
(352) 483-9183
Mailing address
2714 DORA AVE, TAVARES, FL 32778-4970
(352) 483-9183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10801
KY
1223P0221X
Pediatric Dentistry
Primary
DN28954
FL
Other
Enumeration date
06/09/2022
Last updated
05/05/2025
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