Provider Demographics
NPI:1447805163
Name:MELINH DO DDS LLC
Entity Type:Organization
Organization Name:MELINH DO DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MELINH
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-673-8859
Mailing Address - Street 1:1120 W LA PALMA AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2805
Mailing Address - Country:US
Mailing Address - Phone:714-774-1025
Mailing Address - Fax:
Practice Address - Street 1:1120 W LA PALMA AVE STE 3
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2820
Practice Address - Country:US
Practice Address - Phone:714-673-8859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental