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Individual

MELISSA A FLEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
825 W FULTON ST, WAUPACA, WI 54981-1471
(920) 731-7445
(920) 882-2946
Mailing address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
(920) 731-7445
(920) 882-2946

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
569016
WI

Other

Enumeration date
07/30/2018
Last updated
07/30/2018
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