Individual
REBECCA DIANE MELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1160
Mailing address
1 HERITAGE DR, BERKLEY, MA 02779-1621
(303) 619-2482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9115
CO
122300000X
Dentist
DEN03005
RI
122300000X
Dentist
DN1855519
MA
1223G0001X
General Practice Dentistry
Primary
DN1855519
MA
Other
Enumeration date
11/01/2006
Last updated
04/27/2017
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