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1871101337
BRODERICK WAYNE MELLING
LAS VEGAS, NV
NPI
1871101337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV 7382)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
BRODERICK WAYNE MELLING DMD
9777 BERMUDA RD STE 100
LAS VEGAS, NV 89183-3571
Phone number: 702-699-5551
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Mailing Address
BRODERICK WAYNE MELLING DMD
10336 HAWK RAVINE ST
LAS VEGAS, NV 89178-3531
Phone number:
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