Individual
CHARLES MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
256 MONTAUK HIGHWAY, STARLIGHT DENTAL CARE, MORICHES, NY 11955
(631) 874-0888
(631) 874-5111
Mailing address
256 MONTAUK HIGHWAY, MORICHES, NY 11955
(631) 874-0888
(631) 874-5111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0489971
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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