Search › Arizona › 122300000X
Clark Melstrom
NPI 1821436387 · on the registry since 2013
Practice
- Address
- 4601 Stockton Hill Rd.
Kingman, AZ 86409 - Phone
- (928) 757-3225
- Fax
- (928) 757-7477
- Organisation at this address
- Mohave Dental Associates Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-06
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 Arizona