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Individual
DR. MICHAEL EUGENE MELLAND
Active
Individual
DR. MICHAEL EUGENE MELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSN DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-25965
MT
1223G0001X
General Practice Dentistry
7197
KS
Other
Enumeration date
02/26/2007
Last updated
09/12/2023
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