Organization
MAYFIELD & ASHMORE DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN ASHMORE DDS (MEMBER)
(360) 479-2323
Entity
Organization
Contact information
Practice address
1425 NE FRANKLIN AVE, BREMERTON, WA 98311-3026
(360) 479-2323
Mailing address
1425 NE FRANKLIN AVE, BREMERTON, WA 98311-3026
(360) 479-2323
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8684
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5044920
WASHINGTON STATE DEPARTMENT OF SOCIAL & HEALTH SERVICES
WA
Enumeration date
08/25/2009
Last updated
08/25/2009
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