Dr. Melanie Nicole Cristobal, DMD
Dentist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1699343244
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1699343244
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melanie Nicole Cristobal
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2021
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS043634 | PA | Yes |
Practice location
401-55 W Allegheny AvenuePhiladelphia, PA 19133
Phone 215-291-2500 · Fax 215-291-2587
Mailing address
1412-22 Fairmount AvenuePhiladelphia, PA 19130-2908
Phone 215-684-5344 · Fax 215-232-4093
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