Individual
MELISSA MICHELE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
351 W 6TH ST, FORT STEWART, GA 31314-0000
(912) 767-8513
Mailing address
351 W 6TH ST, FORT STEWART, GA 31314-0000
(912) 767-8513
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8075
NC
Other
Enumeration date
07/14/2011
Last updated
06/29/2016
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