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1326455684
MICHAEL NEISH
ROSEBURG, OR
NPI
1326455684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D10441)
Additional Taxonomies
122300000X Dentist
(Licence: AZ D009012)
Enumeration Date
2014-07-18
Last Update Date
2019-11-13
Business Address
Dr. MICHAEL NEISH DMD
1683 W HARVARD AVE
ROSEBURG, OR 97471-2812
Phone number: 541-673-3552
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Mailing Address
Dr. MICHAEL NEISH DMD
7030 VALLEY VIEW DR
GLADSTONE, OR 97027-1126
Phone number: 307-871-2023
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