Melanie L Kemmerer, Dmd, PLLC
Clinic/Center, Dental in Branford, FL. Organization (NPI-2).
NPI number1780972711
StatusActive
Last updated in NPPESJul 12, 2011
Details
- NPI
- 1780972711
- Entity type
- Organization (NPI-2)
- Legal business name
- Melanie L Kemmerer, Dmd, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 12, 2011
- Last updated
- Jul 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DN17680 | FL | Yes |
Practice location
110 Suwannee Ave SwBranford, FL 32008-2749
Phone 386-935-0988 · Fax 386-935-0989
Mailing address
110 Suwannee Ave SwP.O. Box 930
Branford, FL 32008-2749
Phone 386-935-0988 · Fax 386-935-0989
Authorized official
Melanie Lynn Kemmerer
Manager
3525149159
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