Individual
DR. NATHANIEL SIMON MELLUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
420 W WATKINS ST, PHOENIX, AZ 85003-2830
(602) 261-6842
Mailing address
22 EXTON CIR, CHERRY HILL, NJ 08003-2961
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
05/06/2025
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