Individual
DR. DARLENE CHRISTINE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., D.D.S.
Contact information
Practice address
403 WILLIAMSBURG AVE, GENEVA, IL 60134-1091
(630) 208-7668
Mailing address
522 CHESTNUT ST, HINSDALE, IL 60521-3171
(630) 655-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.022916
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019.022916
IL DENTAL LICENSE #
IL
01
—
021.00160
IL DENTAL SPECIALIST #
IL
Enumeration date
05/02/2007
Last updated
08/12/2015
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