| NPI | 1770677221 |
|---|---|
| Former Name | MELANIE SHEILS VERGELDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016594) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 16594) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-06-27 |