Individual
DR. TAD O NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
(360) 896-4489
Mailing address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684
(360) 896-4484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008423
WA
Other
Enumeration date
08/19/2006
Last updated
07/25/2007
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