Daniel J Melancon DDS

NPI 1114250230 - Dentist - 122300000X

NPI Details
NPI 1114250230
Gender Male
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
102 MYSTIC BLVD
HOUMA LA, 70360-2761, US
Phone (985) 873-8451
Fax (985) 873-8451
Business Location
102 MYSTIC BLVD
HOUMA LA, 70360-2761, US
Phone (985) 873-8451
Fax (985) 873-8451
Toxanomy
Taxonomy Code 122300000X
License State Louisiana
License Number 4366
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According to our database, Dr. Daniel J Melancon DDS NPI is 1114250230, taxonomy code is 122300000X and license number is 4366, license state is located at Louisiana. Daniel J Melancon DDS physically located at 102 Mystic Blvd, Houma LA, 70360-2761. NPI Number Daniel J Melancon DDS has the Individual type.

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1114250230 NPI number is provided on an as is basis without warranty of any kind. 1114250230 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel J Melancon DDS are for informational purposes only.