Kim R. Melton, Dds, Phd, P.a.

NPI #1679788202 in Wake Forest, North Carolina

Provider Information

NPI Number: 1679788202
Entity Type: Organization
Organization Name: Kim R. Melton, Dds, Phd, P.a.
Primary Specialty: Dentist
Enumeration Date: May 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3205 ROGERS RD
City: Wake Forest
State: North Carolina
ZIP Code: 27587-3805
Phone: (909) 453-2300

Authorized Official

Name: DR. KIM R MELTON, DDS, PHD
Title: PRESIDENT
Phone: (919) 453-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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