Individual
JAY R. MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2 MERIDIAN BLVD STE 4, WYOMISSING, PA 19610-3202
(610) 376-8297
(610) 372-8080
Mailing address
2 MERIDIAN BLVD STE 4, WYOMISSING, PA 19610-3202
(610) 376-8297
(610) 372-8080
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS-18459-L
PA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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