Individual
AMY LYNN MELOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242 WASHINGTON AVE UNIT D, NUTLEY, NJ 07110
(973) 667-1567
Mailing address
11 MAPLE AVE, HASKELL, NJ 07420
(201) 889-1432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D10282200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/08/2020
Last updated
08/23/2021
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