| NPI | 1841290137 |
|---|---|
| Doing Business As | MARY B. MELLARD, DDS |
| Entity Type | Organization |
| Authorized Contact | MARY B MELLARD President 210-687-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13920) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-03-26 |