Individual
DR. MELVIN THOMAS ASHBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
121 WYATT DR, #3, LAS CRUCES, NM 88005-2959
(505) 523-7752
Mailing address
1027 LA QUINTA ST, LAS CRUCES, NM 88007
(505) 525-3719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1634
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016101
—
NM
Enumeration date
11/15/2005
Last updated
07/09/2007
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