Individual
COREY MELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
40 W EVERGREEN AVE STE 111, PHILADELPHIA, PA 19118-3324
(215) 242-9411
Mailing address
40 W EVERGREEN AVE STE 111, PHILADELPHIA, PA 19118-3324
(215) 242-9411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041904
PA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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