Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1366106635 |
---|---|
Provider Name | Melody Sweatt |
First Address | Mckinney, TX 75071-1689 |
Second Address | Mckinney, TX 75071-1689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2021 |
Last Update Date | 23/10/2021 |