Jonathan Melberg

NPI #1447624473 in Silverdale, Washington

Provider Information

NPI Number: 1447624473
Entity Type: Individual
Name: Jonathan Melberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Nov 13, 2015
Last Updated: Mar 29, 2019

Practice Location

Address: 11065 PACIFIC CREST PL NW STE B105
City: Silverdale
State: Washington
ZIP Code: 98383-6607
Phone: (360) 261-6154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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