NPI | 1588725477 |
---|---|
Other Name | MICHAEL PATRICK MEEHAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021-001839) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019024354) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2025-09-11 |