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NPI Code Detail

MEDICARE: MEGAN C. O'NEILL, DMD, A PROFESSIONAL CORPORATION

MEDICARE: MEGAN C. O'NEILL, DMD, A PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1770884694
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEGAN C. O'NEILL, DMD, A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 9946 ALABAMA ST
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2036
Country : US
Telephone Number : 909-748-7149
Fax Number :
Provider Business Practice Location Address
First Line : 9946 ALABAMA ST
Second Line :
City : REDLANDS
State : CA
Zip : 92374-2036
Country : US
Telephone Number : 909-748-7149
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MEGAN C O'NEILL
Credential : DMD
Telephone Number : 909-748-7149
Provider Enumeration Date : 11/09/2010
Last Update Date : 11/09/2010

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Directions to “MEGAN C. O'NEILL, DMD, A PROFESSIONAL CORPORATION ” Practice Location

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