| NPI | 1174951289 |
|---|---|
| Former Legal Business Name | JOHN MELLING DMD |
| Entity Type | Organization |
| Authorized Contact | DIANA PARDO Owner 508-881-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA DN20804) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |