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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLARK E MELSTROM

Active

CLARK E MELSTROM is a Dentist healthcare provider located in KINGMAN, Arizona. NPI 1821436387 is currently active in the NPPES registry. Verify at CMS.

Dentist · KINGMAN, AZ

Registration Details

NPI Number
1821436387
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2013 (13.170767910657 yrs)
Last Updated
Jun 6, 2013
License
2714 (AZ)

Practice Information

Address
4601 STOCKTON HILL RD.
KINGMAN, AZ, 864091759
Browse AZ providers · Browse ZIP 86409
Phone
9287573225
Fax
9287577477
Primary Specialty
Dentist
122300000X

Other Dentist Providers in KINGMAN, AZ

Name Credential NPI
DR. BRYAN K CARLSON DMD 1063404366
DR. GARY JAMES LACAZE DDS 1205931011
DR. JON C LINDSAY D.D.S 1396874996
DR. TORI SANDOVAL D.M.D. 1275753626
DR. REGINA ELIZABETH COBB DDS 1689888000
DR. THEODORE S KIMBALL III DDS 1669664553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.