| NPI | 1235117573 |
|---|---|
| Former Name | MELANIE ELAINE DEMARIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411503) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 53338) |
| 1223G0001X Dentist, General Practice (Licence: NJ 22DI02008200) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2008-03-26 |