Individual
MARY JANE MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
302 VILLAGE WAY, WESTPORT, MA 02790
(508) 636-6566
Mailing address
302 VILLAGE WAY, WESTPORT, MA 02790
(508) 636-6566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856050
MA
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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