Individual
DR. MELISSA GRAY TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1304 CLEARVIEW PKWY, METAIRIE, LA 70001-3422
(504) 888-3384
Mailing address
6817 GENERAL HAIG ST, NEW ORLEANS, LA 70124-4028
(225) 413-0022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5985
LA
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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