Individual
MELYNDA K CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DH
Contact information
Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 772-1906
(303) 682-9269
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904283
CO
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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