Provider Demographics
NPI:1295220739
Name:MELAD, SAHLEE CRISTINE (DDS)
Entity type:Individual
Prefix:DR
First Name:SAHLEE
Middle Name:CRISTINE
Last Name:MELAD
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 1:265 F ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-2820
Mailing Address - Country:US
Mailing Address - Phone:619-420-9090
Mailing Address - Fax:619-420-9374
Practice Address - Street 1:265 F ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2820
Practice Address - Country:US
Practice Address - Phone:619-420-9090
Practice Address - Fax:619-420-9374
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice