Individual
MRS. MELISSA SUANN GAYDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYGIENISTS
Contact information
Practice address
3000 HAMPTON CTR, SUITE B, MORGANTOWN, WV 26505-1708
(304) 599-5000
(304) 599-6629
Mailing address
211 RIVERCREST DR, MORGANTOWN, WV 26508-9028
(304) 598-9459
(304) 599-6629
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
WV-1650
WV
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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