Individual
MELISSA DAWN KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1211 HIGHLAND AVE, NEEDHAM, MA 02492-2634
(781) 444-4782
(781) 455-1416
Mailing address
1211 HIGHLAND AVE, NEEDHAM, MA 02492-2634
(781) 444-4782
(781) 455-1416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856351
MA
1223G0001X
General Practice Dentistry
Primary
DN1856351
MA
Other
Enumeration date
12/31/2013
Last updated
02/08/2016
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