Individual
CHRISTY NICOLE POGUE MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-0080
(417) 782-0096
Mailing address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
(417) 451-8903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2011023153
MO
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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