DR. Mark David Mellman, DDS

NPI #1700213188 in Brandon, Florida

Provider Information

NPI Number: 1700213188
Entity Type: Individual
Name: DR. Mark David Mellman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 1, 2013
Last Updated: Oct 1, 2013

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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