Individual
DR. MELLANIE N THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
819 HOLLINS ST, BALTIMORE, MD 21201-1003
(206) 498-2916
(410) 558-6438
Mailing address
819 HOLLINS ST, BALTIMORE, MD 21201-1003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14149
MD
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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