Individual
MISS MELANIE MICHELLE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 NEW WALKERTOWN RD, WINSTON SALEM, NC 27101-1948
(336) 724-5054
(336) 724-5033
Mailing address
2621 NEW WALKERTOWN RD, WINSTON SALEM, NC 27101-1948
(336) 724-5054
(336) 724-5033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8620
NC
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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