NATHANIEL SIMON MELLUL

PHOENIX, AZ
NPI1043006554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-19
Last Update Date2025-05-06
Business Address
Dr. NATHANIEL SIMON MELLUL DMD
420 W WATKINS ST
PHOENIX, AZ 85003-2830
Phone number: 602-261-6842
Mailing Address
Dr. NATHANIEL SIMON MELLUL DMD
22 EXTON CIR
CHERRY HILL, NJ 08003-2961
Phone number: