Individual
MATTHEW DAVIS MELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1122 PROFESSIONAL LN, MOUNT PLEASANT, SC 29466-7193
(843) 972-9700
Mailing address
16 HUMPHREY CT UNIT A, CHARLESTON, SC 29403-5301
(843) 714-3283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10816
SC
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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