Organization
BRETT B. MELGOSA DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT BREINIG MELGOSA D.M.D (OWNER/PRESIDENT/CEO)
(209) 634-5858
Entity
Organization
Contact information
Practice address
700 CRANE AVE, TURLOCK, CA 95380-4546
(209) 634-5858
Mailing address
700 CRANE AVE, TURLOCK, CA 95380-4546
(209) 634-5858
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
61429
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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