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Individual

DR. MELISSA ANN PARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
7219 N LITCHFIELD RD., 56TH MEDICAL GROUP, LUKE AFB, AZ 85309-1525
(623) 856-7535
Mailing address
6610 N 93RD AVE, APT 1056, GLENDALE, AZ 85305-3170
(650) 773-6911

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61209
CA

Other

Enumeration date
09/14/2012
Last updated
09/14/2012
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