Individual
MRS. MELISSA MARGARET FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
405 MAIN ST, HILLSBORO, MO 63050-4351
(636) 797-8045
Mailing address
405 MAIN ST, HILLSBORO, MO 63050-4351
(636) 797-8045
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2016005334
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016005334
—
MO
Enumeration date
03/17/2017
Last updated
03/17/2017
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