Individual
DR. WALTER L MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 314-6609
Mailing address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 314-6609
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401006731
VA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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