NPI | 1245877992 |
---|---|
Doing Business As | MELROSE DENTAL & BRACES |
Entity Type | Organization |
Authorized Contact | PAULETTE LOUISE O'CONNOR President 760-598-7565 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-12-02 |
Last Update Date | 2020-07-12 |