Individual
DR. MELISSA WILSON VENRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1055 17TH AVE STE 103, LONGMONT, CO 80501-2647
(303) 651-7771
(303) 651-1435
Mailing address
1055 17TH AVE STE 103, LONGMONT, CO 80501-2647
(303) 651-7771
(303) 651-1435
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7430
CO
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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