MICHAEL D. MELLUM, DMD PC

PORTLAND, OR
NPI1407062128
Entity TypeOrganization
Authorized ContactMICHAEL DEANE MELLUM
President
503-286-4492
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-05-16
Last Update Date2020-08-22
Business Address
MICHAEL D. MELLUM, DMD PC
8910 N KELLOGG ST
PORTLAND, OR 97203-3002
Phone number: 503-286-4492
Mailing Address
MICHAEL D. MELLUM, DMD PC
8910 N KELLOGG ST
PORTLAND, OR 97203-3002
Phone number: 503-286-4492
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