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Individual
DR. RICHARD WAYNE MELLIN
Active
Individual
DR. RICHARD WAYNE MELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DENTAL 7167
CO
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MEDICAL 37605
CO
Other
Enumeration date
12/08/2006
Last updated
09/11/2025
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