Mark D. Mellman, Dds. PA

NPI #1578585451 in Brandon, Florida

Provider Information

NPI Number
1578585451
Entity Type
Organization
Organization Name
Mark D. Mellman, Dds. PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 23, 2006
Last Updated
Jul 16, 2008

Practice Location

Address
721 W ROBERTSON ST
Address 2
SUITE 107
State
Florida
ZIP Code
33511-4934
Phone
(813) 654-4545

Authorized Official

Name
DR. MARK DAVID MELLMAN, DDS
Title
PRESIDENT
Phone
(813) 654-4545

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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