Individual
DR. MELINDA TALAL DICKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
48709 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-2562
(586) 731-3000
Mailing address
5662 BRANFORD DR, WEST BLOOMFIELD, MI 48322-1100
(248) 302-8627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601702
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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