SearchCalifornia1223S0112X

Michael Neilson, DMD

NPI 1811946841 · on the registry since 2006

Practice

Address
60th Dental Squadron
101 Bodin Circle
Travis Afb, CA 94535
Phone
(707) 423-7085

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
1223G0001X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California