Individual
MELISSA JEAN VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
130 W 5TH ST, SUITE #119 AND 121, LEADVILLE, CO 80461-3510
(719) 486-8285
Mailing address
PO BOX 572, LEADVILLE, CO 80461-0572
(719) 486-8285
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-905202
CO
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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