Individual
MELANIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5922 52ND STREET CT W, UNIVERSITY PLACE, WA 98467-4158
(253) 224-1118
Mailing address
5922 52ND STREET CT W, UNIVERSITY PLACE, WA 98467-4158
(253) 224-1118
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
00006853
WA
124Q00000X
Dental Hygienist
Primary
DH00006853
WA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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