Individual
HILARY JACKSON MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 CONSTITUTION AVE, LITTLETON, MA 01460-1137
(508) 717-1008
Mailing address
18 HELEN ST, ACUSHNET, MA 02743-1319
(508) 717-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859337
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
06/05/2022
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