Individual
STEPHANIE ANN MELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
(541) 885-5512
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
(541) 885-5512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
09564
IA
1223G0001X
General Practice Dentistry
Primary
D11780
OR
Other
Enumeration date
05/18/2018
Last updated
07/29/2024
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