RANDI MELLON

SAN ANTONIO, TX
NPI1801200514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  30105)
Additional Taxonomies122300000X Dentist
(Licence: MA  DN1858319)
Enumeration Date2014-06-20
Last Update Date2022-12-19
Business Address
Dr. RANDI MELLON DDS
11010 W FM 471 STE 104
SAN ANTONIO, TX 78253-4991
Phone number: 210-688-9386
Mailing Address
Dr. RANDI MELLON DDS
3285 BROAD OAK DR
BANDERA, TX 78003-3784
Phone number: 361-537-2634