| NPI | 1821385634 |
|---|---|
| Former Name | ASHLEY MARIE MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 11107) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3831) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-10-10 |