NPI 1871372763

Ambar Roberly Lora Melenciano, PORPHYTECHNICIAN

Practitioner Dental Assistant Goose Creek, SC

Practice location

Address: 110 Nnptc Cir, Goose Creek, SC 29445-6314
Phone: (843) 794-7463

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in South Carolina →

Registry record

NPI: 1871372763
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2023
Record last updated: 28 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.