Individual
ALEX THOMAS MELLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
11166 TESSON FERRY RD, SAINT LOUIS, MO 63123-6966
(314) 842-6666
Mailing address
7529 HOOVER AVE, RICHMOND HTS, MO 63117-1534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011040015
MO
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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