Individual
DR. MELISSA MARIE PYSNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8850 W EMERALD ST STE 150, BOISE, ID 83704-4809
(208) 323-2294
Mailing address
2139 ORCHARD PINES LOOP, BOUNTIFUL, UT 84010-5673
(801) 309-4444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5061
ID
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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