IndividualActive
Ambar Lora Melenciano, PORPHY TECHNICIAN
NPI 1871372763 · Dental Assistant · Goose Creek, SC
Provider details
- NPI number
- 1871372763
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- PORPHY TECHNICIAN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
110 Nnptc Cir
Goose Creek, SC 29445-6314
Phone: (843) 794-7463
Approximate (ZIP-level) locationGet directions
Mailing address
110 Nnptc Cir
Goose Creek, SC 29445-6314
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.