Provider Demographics
NPI:1265538334
Name:KOEHLER, MELANIE APOSTLE (DDS)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:APOSTLE
Last Name:KOEHLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4034
Mailing Address - Country:US
Mailing Address - Phone:925-820-1044
Mailing Address - Fax:925-820-3227
Practice Address - Street 1:901 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4034
Practice Address - Country:US
Practice Address - Phone:925-820-1044
Practice Address - Fax:925-820-3227
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA447171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice