Individual
MELISSA DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL THERAPIST
Contact information
Practice address
800 MEDICAL CENTER DR STE 490, FAIRMONT, MN 56031-4575
(612) 812-9052
Mailing address
800 MEDICAL CENTER DR STE 490, FAIRMONT, MN 56031-4575
(612) 812-9052
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT144
MN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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