Provider Demographics
NPI:1215076401
Name:SAHLEE C MELAD DDS INC
Entity type:Organization
Organization Name:SAHLEE C MELAD DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAHLEE
Authorized Official - Middle Name:CRISTINE
Authorized Official - Last Name:MELAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-420-9090
Mailing Address - Street 1:265 F ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910
Mailing Address - Country:US
Mailing Address - Phone:619-420-9090
Mailing Address - Fax:619-420-9374
Practice Address - Street 1:265 F ST
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910
Practice Address - Country:US
Practice Address - Phone:619-420-9090
Practice Address - Fax:619-420-9374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty