Individual
MELINA GHODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
419 WEST CALLE DE CABALLOS, TEMPE, AZ 85284-8528
(480) 284-9504
Mailing address
419 W CALLE DE CABALLOS, TEMPE, AZ 85284-5210
(480) 284-9504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010113
AZ
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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