Organization
MELE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY MELE DMD (PRESIDENT)
(215) 520-5051
Entity
Organization
Contact information
Practice address
40 W EVERGREEN AVE STE 111, PHILADELPHIA, PA 19118-3324
(215) 242-9411
(215) 242-3454
Mailing address
40 W EVERGREEN AVE STE 111, PHILADELPHIA, PA 19118-3324
(215) 242-9411
(215) 242-3454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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