Provider Demographics
NPI:1235333451
Name:MELO, MONICA ALEXANDRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ALEXANDRA
Last Name:MELO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8982 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PICO RIVERA
Mailing Address - State:CA
Mailing Address - Zip Code:90660-3765
Mailing Address - Country:US
Mailing Address - Phone:562-222-1551
Mailing Address - Fax:562-381-7770
Practice Address - Street 1:8982 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-3765
Practice Address - Country:US
Practice Address - Phone:562-222-1551
Practice Address - Fax:562-381-7770
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD504921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice