Individual
DR. DANIEL J MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 MYSTIC BLVD, HOUMA, LA 70360-2761
(985) 873-8451
(985) 873-8451
Mailing address
102 MYSTIC BLVD, HOUMA, LA 70360-2761
(985) 873-8451
(985) 873-8451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4366
LA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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