J. R. Mellard DDS,MS

NPI 1043357288 - Dentist - 1223P0300X

NPI Details
NPI 1043357288
Gender Male
Enumeration Date 01/30/2007
Last Updated 01/14/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
24200 W IH 10
SUITE 112
SAN ANTONIO TX, 78257-1145, US
Phone (210) 687-1133
Fax (210) 687-1132
Business Location
24200 W IH 10
SUITE 112
SAN ANTONIO TX, 78257-1145, US
Phone (210) 687-1133
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State Texas
License Number 13919
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According to our database, Dr. J. R. Mellard DDS,MS NPI is 1043357288, taxonomy code is 1223P0300X and license number is 13919, license state is located at Texas. J. R. Mellard DDS,MS physically located at 24200 W Ih 10, San Antonio TX, 78257-1145. NPI Number J. R. Mellard DDS,MS has the Individual type.

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1043357288 NPI number is provided on an as is basis without warranty of any kind. 1043357288 is maintained by the National Plan & Provider Enumeration System. The contents of J. R. Mellard DDS,MS are for informational purposes only.