Individual
CHRIS NEIBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 SAINT PATRICKS DR, WALDORF, MD 20603-4574
(301) 870-4553
Mailing address
117 SAINT PATRICKS DR, 117 SAINT PATRICKS DRIVE, WALDORF, MD 20603-4574
(301) 870-4553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6124
MD
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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