Individual
ANTHONY LERON NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23077 GREENFIELD RD, SUITE 285, SOUTHFIELD, MI 48075-3709
(248) 395-9800
(248) 395-9778
Mailing address
25570 RANCHWOOD DR, FARMINGTON HILLS, MI 48335-1165
(248) 478-0543
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901017558
MI
Other
Enumeration date
05/24/2007
Last updated
02/16/2009
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