Individual
MELVYN GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-3371
(715) 588-7884
Mailing address
450 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9682
(715) 588-3371
(715) 588-7884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3623
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33490000
—
WI
Enumeration date
10/12/2006
Last updated
03/07/2023
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