Individual
PHILIP R MELNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4281 KATELLA AVE, #112, LOS ALAMITOS, CA 90720-3500
(562) 860-1611
Mailing address
4281 KATELLA AVE, #112, LOS ALAMITOS, CA 90720-3500
(562) 860-1611
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29627
CA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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