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Individual

DR. MELINDA EISERLOH HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
198 HWY 21, MADISONVILLE, LA 70447
(985) 845-0452
(985) 845-2994
Mailing address
198 HWY 21, MADISONVILLE, LA 70447
(985) 845-0452
(985) 845-2994

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5111
LA

Other

Enumeration date
08/04/2006
Last updated
08/14/2014
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