Individual
MELISSA SUE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9951 STATE HIGHWAY 193, PLACERVILLE, CA 95667-7403
(707) 419-1626
Mailing address
9951 STATE HIGHWAY 193, PLACERVILLE, CA 95667-7403
(707) 419-1626
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30672
CA
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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