Individual
DR. CHARLES MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
707 PARNASSUS AVE., RM D-1050, SAN FRANCISCO, CA 94143-0768
(415) 476-8298
(414) 502-6489
Mailing address
1000 N POINT, #1702, SAN FRANCISCO, CA 94109
(415) 606-8776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15732
STATE BOARD LISCENSE
CA
Enumeration date
12/13/2006
Last updated
07/08/2007
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