Individual
DR. JOSHUA ROBERT MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2421 PRESIDIO VISTA DR, FORT WORTH, TX 76177-8277
(435) 757-2270
Mailing address
1580 MEADOWS AVE, LANTANA, TX 76226-6630
(435) 757-2270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7706435-9922
UT
122300000X
Dentist
DEN.00202019
CO
1223E0200X
Endodontics
Primary
38801
TX
1223G0001X
General Practice Dentistry
7706435-9922
UT
Other
Enumeration date
08/20/2010
Last updated
07/22/2022
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