Individual
DR. MEREDITH ----- MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2001 W LINCOLN AVE, SUITE 33, FERGUS FALLS, MN 56537-1010
(218) 739-2481
(218) 739-2178
Mailing address
2001 W LINCOLN AVE, SUITE 33, FERGUS FALLS, MN 56537-1010
(218) 739-2481
(218) 739-2178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7864
MN
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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