Individual
DR. MELANIE DE MESA EVANGELISTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
CVN USS ENTERPRISE DENTAL DEPT, BOX 48, NORFOLK, VA 23501
(757) 534-1319
Mailing address
5644 MAGNOLIA RUN CIR, #203, VIRGINIA BEACH, VA 23464-1584
(757) 479-0220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51472
CA
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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