Individual
DR. MELISSA A DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
205 ELM ST, IDAHO FALLS, ID 83402-4054
(208) 524-2771
(208) 529-4277
Mailing address
205 ELM ST, IDAHO FALLS, ID 83402-4054
(208) 524-2771
(208) 529-4277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-2055
ID
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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