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Individual

DOUGLAS M MELLION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
42700 BOB HOPE DR, SUITE 309, RANCHO MIRAGE, CA 92270-4434
(760) 779-0350
(760) 779-0348
Mailing address
42700 BOB HOPE DR, SUITE 309, RANCHO MIRAGE, CA 92270-4434
(760) 779-0350
(760) 779-0348

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
51224
CA

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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