Gerusa Mello-Anderson, D.D.S.

NPI #1790871721 in O Fallon, Illinois

Provider Information

NPI Number
1790871721
Entity Type
Individual
Name
Gerusa Mello-Anderson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4945 STONE FALLS CTR
Address 2
SUITE B
ZIP Code
62269-7802
Phone
(618) 622-0212

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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