Melissa T Sullivan, RDH

NPI #1083912281 in Montrose, Colorado

Provider Information

NPI Number: 1083912281
Entity Type: Individual
Name: Melissa T Sullivan, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Mar 11, 2011
Last Updated: Mar 11, 2011

Practice Location

Address: 67344 TROUT RD
City: Montrose
State: Colorado
ZIP Code: 81403-8670
Phone: (970) 249-5714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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