Individual
DR. MELANIE NICOLE CRISTOBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
401-55 W ALLEGHENY AVENUE, PHILADELPHIA, PA 19133
(215) 291-2500
(215) 291-2587
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043634
PA
Other
Enumeration date
06/10/2021
Last updated
08/04/2022
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