Mellon Dental Management, Pllc

NPI #1336852144 in Bandera, Texas

Provider Information

NPI Number: 1336852144
Entity Type: Organization
Organization Name: Mellon Dental Management, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2022
Last Updated: Feb 7, 2023

Practice Location

Address: 584 STATE HIGHWAY 16 S
City: Bandera
State: Texas
ZIP Code: 78003-3808
Phone: (830) 796-3548

Authorized Official

Name: DR. RANDI MELLON, DDS
Title: DENTIST
Phone: (830) 796-3548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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