Individual
DR. MELISSA MEINCKEN BOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3601 NW 107TH AVE, DORAL, FL 33178-4377
(786) 624-3368
(305) 662-8314
Mailing address
300 S BISCAYNE BLVD APT 612, MIAMI, FL 33131-5358
(860) 490-1173
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN19604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006684000
—
FL
Enumeration date
11/15/2009
Last updated
02/27/2024
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