Individual
JANNA MELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 SQUIRE RD, REVERE, MA 02151-1314
(781) 289-8080
Mailing address
10 WYNGATE PL, GREAT NECK, NY 11021-2521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856513
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2013
Last updated
07/01/2014
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