Individual
MISS MELISSA RAE DRENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1845 HARMONY HEIGHTS LN, 301, RAPID CITY, SD 57702-6245
(706) 366-7445
Mailing address
1845 HARMONY HEIGHTS LN, 301, RAPID CITY, SD 57702-6245
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH011154
GA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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