Individual
MELISSA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
652 HAMILTON RD, USA DENTAL ACTIVITY, FORT SILL, OK 73503
(580) 442-3905
Mailing address
652 HAMILTON RD, USA DENTAL ACTIVITY, FORT SILL, OK 73503
(580) 442-3905
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OK
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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