Individual
MELLINA ERNESTINA DELGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-2242
Mailing address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-2242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4487
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2016
Last updated
09/16/2016
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