Individual
MELBA DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
269 UNION STREET, LYNN, MA 01913-1314
(781) 596-2502
(781) 596-3966
Mailing address
269 UNION STREET, LYNN COMMUNITY HEALTH CENTER, LYNN, MA 01913-1314
(781) 596-2502
(781) 596-3966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10167
MA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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