Mrs. Melanie Beth Quillen
Dental Assistant
81 W San Jose Ave
Clovis
, California 93612-2460
Mrs. Melanie Beth Quillen
Dental Assistant
81 W San Jose Ave
Clovis
, California 93612-2460
(559) 394-8248
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Melanie Beth Quillen
- 81 W San Jose Ave
- Clovis, CA
- Zip : 93612-2460
- Phone : (559) 394-8248
Second Address
- Mrs. Melanie Beth Quillen
- 81 W San Jose Ave
- Clovis, CA
- Zip : 93612-2460
- Phone : (559) 394-8248
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 61629 | CA |
National Provider Identifier
| NPI | 1023321262 |
|---|---|
| Provider Name | Mrs. Melanie Beth Quillen |
| First Address | Clovis, CA 93612-2460 |
| Second Address | Clovis, CA 93612-2460 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2010 |
| Last Update Date | 16/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.