Organization
JOHN MCNEILL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A MCNEILL DDS (PRES)
(505) 326-2611
Entity
Organization
Contact information
Practice address
2401 E 30TH ST, BLDG 2, FARMINGTON, NM 87401-8986
(505) 326-2611
(505) 326-5152
Mailing address
2401 E 30TH ST, BLDG 2, FARMINGTON, NM 87401-8986
(505) 326-2611
(505) 326-5152
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1123
NM
Other
Enumeration date
09/19/2005
Last updated
11/20/2007
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