Individual
MELANIE DESIREE MELGAREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(917) 201-8677
Mailing address
42 N MAIN ST, WEST HARTFORD, CT 06107-1927
(917) 201-8677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13154
CT
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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