Provider Demographics
NPI:1831255678
Name:MCLEOD, NEIL STEWART (BDS LDSRCS DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:STEWART
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:BDS LDSRCS DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9201 SUNSET BLVD
Mailing Address - Street 2:SUITE 715
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069
Mailing Address - Country:US
Mailing Address - Phone:310-275-5379
Mailing Address - Fax:310-275-6854
Practice Address - Street 1:9201 SUNSET BLVD
Practice Address - Street 2:SUITE 715
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069
Practice Address - Country:US
Practice Address - Phone:310-275-5379
Practice Address - Fax:310-275-6854
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA254241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice