Individual
DR. MELONIE RACHEL DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S. (PEDIATRICS)
Contact information
Practice address
1114 14TH ST N, TEXAS CITY, TX 77590-5413
(409) 945-8080
(409) 945-4325
Mailing address
1114 14TH ST N, TEXAS CITY, TX 77590-5413
(409) 945-8080
(409) 945-4325
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G60405-01
CHIPS
TX
Enumeration date
03/29/2007
Last updated
07/08/2007
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