Individual
DR. MELISSA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3009 WINGHAVEN BLVD, O FALLON, MO 63368-3600
(636) 561-5160
Mailing address
3009 WINGHAVEN BLVD, O FALLON, MO 63368-3600
(636) 561-5160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20160016666
MO
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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