Individual
DR. MELINA MAIROBY PEREIRA PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
740 W SOUTH ST, FREEPORT, IL 61032-6840
(786) 247-3176
Mailing address
400 BLACKSTONE AVE, ELGIN, IL 60124-3835
(786) 247-3176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.035451
IL
Other
Enumeration date
07/02/2024
Last updated
08/08/2024
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