Individual
GAY MELVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
(570) 941-0630
Mailing address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3814
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH001143
PA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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