Individual
DR. MELISSA ELLEN NAZARETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2704 CHESTNUT AVENUE, NEWPORT NEWS, VA 23607
(757) 247-0890
Mailing address
PO BOX 15347, NEWPORT NEWS, VA 23608
(757) 247-0890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008646
VA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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