Individual
DR. MELANIE ELAINE MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18940 SCHOOLCRAFT, DETROIT, MI 48223-2906
(313) 835-6758
(313) 835-6759
Mailing address
P.O. BOX 21-785, DETROIT, MI 48221
(313) 835-6758
(313) 835-6759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016544
MI
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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