Individual
MELISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(016) 776-0783
Mailing address
8472 SIMMOND ST, FORT MEADE, MD 20755-5700
(601) 677-6078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17257
MD
Other
Enumeration date
08/06/2019
Last updated
06/09/2022
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