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Organization
JAMES W. MELLERT D.D.S., APC
Active
Organization
JAMES W. MELLERT D.D.S., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE J REIS (OFFICE MANAGER)
(310) 543-1234
Entity
Organization
Contact information
Practice address
21350 HAWTHORNE BLVD, STE 175, TORRANCE, CA 90503-5605
(310) 543-1234
(310) 543-8795
Mailing address
21350 HAWTHORNE BLVD, STE 175, TORRANCE, CA 90503-5605
(310) 543-1234
(310) 543-8795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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