| NPI | 1417262965 |
|---|---|
| Former Name | ASHLEY DANIELLE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00202254) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DD3379) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-10-15 |