Provider Demographics
NPI:1699874073
Name:MAYES, MELBA Z (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:MELBA
Middle Name:Z
Last Name:MAYES
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:2140 GRAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-6803
Mailing Address - Country:US
Mailing Address - Phone:909-548-4044
Mailing Address - Fax:909-548-0848
Practice Address - Street 1:2140 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6803
Practice Address - Country:US
Practice Address - Phone:909-548-4044
Practice Address - Fax:909-548-0848
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA435131223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry