Individual
DR. ASHLEY SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
801 S. PAULINA ST, UIC COLLEGE OF DENTISTRY - ENDODONTICS CLINIC, CHICAGO, IL 60612
(312) 355-3615
Mailing address
903 S ASHLAND AVE APT 514, CHICAGO, IL 60607-4098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032916
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/16/2020
Last updated
10/26/2020
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