| NPI | 1174015671 |
|---|---|
| Doing Business As | DRS. MELMAN, RAVETT & ASSOCIATES |
| Doing Business As | GREENE STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | TY JUSTICE Director, Credentialing & Payer Rel 512-808-4984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2025-06-30 |