Individual
DR. MICHELLE FOGG NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9750 NE 120TH PL STE 5, KIRKLAND, WA 98034-4207
(425) 823-1234
Mailing address
9750 NE 120TH PL STE 5, KIRKLAND, WA 98034-4207
(425) 823-1234
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00008551
WA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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