Individual
MISTY LEE METELKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
331 E HIGHWAY 123, SUNNYSIDE, UT 84539-7725
(435) 888-4411
Mailing address
190 N 100 E, PRICE, UT 84501-2408
(435) 851-2855
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7359220-9920
UT
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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