| NPI | 1285901801 |
|---|---|
| Doing Business As | NEIBAUER DENTAL CARE - BOWIE |
| Entity Type | Organization |
| Authorized Contact | JASMINE REARDON Credential Coordinator 217-540-8330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15871) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2015-12-10 |