Individual
MELISSA MARIE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3215
Mailing address
5901 W BEHREND DR APT 1002, GLENDALE, AZ 85308-6934
(501) 743-0798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
STUDENT
AZ
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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