Individual
ERIN MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2316 12TH AVE, FOREST GROVE, OR 97116-2907
(503) 869-4806
Mailing address
2316 12TH AVE, FOREST GROVE, OR 97116-2907
(503) 869-4806
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6201
OR
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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