Search › Texas › 122300000X
Randi Mellon, DDS
NPI 1801200514 · on the registry since 2014 · sole proprietor
Practice
- Address
- 11010 W Fm 471 Ste 104
San Antonio, TX 78253 - Phone
- (210) 688-9386
- Organisation at this address
- Culebra Smiles And Orthodontics, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- MA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas