Individual
DR. ROBERT G MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1530 FOREST LN S, STE D, GARLAND, TX 75042-7950
(972) 272-8751
(972) 272-8752
Mailing address
3132 PURDUE AVE, DALLAS, TX 75225-7721
(972) 272-8751
(972) 272-8752
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732729-01
—
TX
Enumeration date
06/16/2006
Last updated
01/21/2011
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