| NPI | 1871006742 |
|---|---|
| Doing Business As | DENTISTS OF MELBOURNE |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN LEE Owner 321-420-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-12-17 |