Organization
MELODY MAFA DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN E TUINEI (CREDENTIALING MANAGER)
(602) 750-6897
Entity
Organization
Contact information
Practice address
917 MACDADE BLVD, COLLINGDALE, PA 19023-3719
(610) 583-4443
Mailing address
917 MACDADE BLVD, COLLINGDALE, PA 19023-3719
(610) 583-4443
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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