DR. Melody Lynn Herston, D.M.D.
NPI #1720296650 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1720296650
- Entity Type
- Individual
- Name
- DR. Melody Lynn Herston, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- May 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4161 TAMIAMI TRL
- Address 2
- SUITE 803
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-9204
- Phone
- (941) 255-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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