Individual
MELISSA AYLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3258 BOWERS HARBOR RD, TRAVERSE CITY, MI 49686-9737
(231) 223-4232
(231) 223-9205
Mailing address
3258 BOWERS HARBOR RD, TRAVERSE CITY, MI 49686-9737
(231) 223-4232
(231) 223-9205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019846
MI
Other
Enumeration date
06/25/2008
Last updated
02/18/2014
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