Individual
DR. MARK DAVID MELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
721 W. ROBERTSON ST., SUITE 107, BRANDON, FL 33511
(813) 654-4545
(813) 654-3470
Mailing address
721 W. ROBERTSON ST., SUITE 107, BRANDON, FL 33511
(813) 654-4545
(813) 654-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN8712
FL
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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