Individual
TIM A MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3414 HESSMER AVE, STE 201, METAIRIE, LA 70002-4759
(504) 889-1165
(504) 889-1177
Mailing address
3414 HESSMER AVE, STE 201, METAIRIE, LA 70002-4759
(504) 889-1165
(504) 889-1177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5046
LA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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