| NPI | 1003047309 |
|---|---|
| Former Name | MELISSA MARIE WARHOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV WV3928) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 054497-1) |
| 122300000X Dentist (Licence: WV 3928) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2012-10-23 |