| Melanie Marshall, D.d.s., Inc. | |
|
12137 Magnolia Blvd Valley Village CA 91607-2609 | |
| (818) 308-6024 | |
| (818) 308-7362 |
| Full Name | Melanie Marshall, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 12137 Magnolia Blvd, Valley Village, California |
| Authorized Official Name and Position | Melanie Marshall (PRESIDENT) |
| Authorized Official Contact | 9092088866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Marshall, D.d.s., Inc. 12137 Magnolia Blvd Valley Village CA 91607-2609 Ph: (818) 308-6024 | Melanie Marshall, D.d.s., Inc. 12137 Magnolia Blvd Valley Village CA 91607-2609 Ph: (818) 308-6024 |
| NPI Number | 1376941906 |
|---|---|
| Provider Enumeration Date | 12/14/2014 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376941906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60562 (California) | Primary |
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