Organization
W. DAVID MELEVSKY, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER DAVID MELEVSKY DDS (DOCTOR)
(207) 761-6699
Entity
Organization
Contact information
Practice address
25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
(207) 761-6699
(207) 761-0245
Mailing address
25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
(207) 761-6699
(207) 761-0245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4009
ME
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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