Individual
DR. ASHTON TIERRA SAMUELS-POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3800 SPRINGHURST BLVD STE F, LOUISVILLE, KY 40241-6138
(502) 339-7707
Mailing address
7040 SHANTY CREEK DR, LOUISVILLE, KY 40228-2823
(502) 572-0182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10766
KY
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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