Individual
DR. KORY M MELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2909 19TH STREET, EAST MOLINE, IL 61244
(309) 796-2251
(309) 796-2274
Mailing address
508 E 15TH AVENUE CT, COAL VALLEY, IL 61240-9154
(309) 799-7370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.023972
IL
Other
Enumeration date
02/15/2007
Last updated
04/24/2012
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