| NPI | 1043505613 |
|---|---|
| Former Name | ASHLEY NICOLE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AK 162432) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC pending) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2020-09-09 |