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Individual

DR. DAVID L 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
3005
LA

Other

Enumeration date
09/08/2009
Last updated
09/08/2009
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