Individual
LAUREN MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
(352) 273-5688
Mailing address
22410 SIERRA BLANCA, SAN ANTONIO, TX 78259-2642
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
35001
TX
Other
Enumeration date
05/23/2018
Last updated
08/13/2020
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