| Maria N. Mella Dmd Dental Corp. | |
|
391 Surrey Dr Bonita CA 91902-2352 | |
| (619) 274-1672 | |
| Not Available |
| Full Name | Maria N. Mella Dmd Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 391 Surrey Dr, Bonita, California |
| Authorized Official Name and Position | Maria N Mella (PRESIDENT) |
| Authorized Official Contact | 6192741672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria N. Mella Dmd Dental Corp. 391 Surrey Dr Bonita CA 91902-2352 Ph: (619) 274-1672 | Maria N. Mella Dmd Dental Corp. 391 Surrey Dr Bonita CA 91902-2352 Ph: (619) 274-1672 |
| NPI Number | 1679829337 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679829337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44034 (California) | Primary |
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