Individual
DR. ALFONSO J MELEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4802 E 7TH AVE, TAMPA, FL 33605-4704
(813) 248-8515
(813) 241-2709
Mailing address
4802 E 7TH AVE, TAMPA, FL 33605-4704
(813) 248-8515
(813) 241-2709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN-14205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071409700
—
FL
Enumeration date
03/16/2006
Last updated
09/12/2011
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