Thaize Lara Melo, DDS

NPI #1003130816 in Chicago, Illinois

Provider Information

NPI Number: 1003130816
Entity Type: Individual
Name: Thaize Lara Melo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 23, 2010
Last Updated: Nov 21, 2013

Practice Location

Address: 3 NORTH ABERDEEN ST
Address 2: APARTMENT 405
City: Chicago
State: Illinois
ZIP Code: 60607-2243
Phone: (312) 841-2661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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