Individual
MELANIE MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CENTRAL AVE, REVERE, MA 02151-3020
(781) 284-5443
Mailing address
26 CENTRAL AVE, REVERE, MA 02151-3020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859108
MA
Other
Enumeration date
03/11/2020
Last updated
07/31/2024
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