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Individual

DR. INDHIRA MELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1127 W MAIN ST, WATERBURY, CT 06708-2764
(203) 527-4614
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DE70040875
WA
1223G0001X
General Practice Dentistry
12907
CT
1223G0001X
General Practice Dentistry
Primary
DE70040875
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2365452
WA
Enumeration date
09/15/2020
Last updated
03/30/2026
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