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Individual

MATTHEW JOHN MELANCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
300 W MADISON ST, BROUSSARD, LA 70518-4518
(337) 837-1861
(337) 837-1278
Mailing address
300 W MADISON ST, BROUSSARD, LA 70518-4518
(337) 837-1861
(337) 837-1278

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5974
LA

Other

Enumeration date
04/06/2009
Last updated
06/18/2015
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