Individual
MICHELLE ASHLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
595 CHAPEL HILLS DR STE 300, COLORADO SPRINGS, CO 80920-1057
(719) 599-0500
(719) 599-0575
Mailing address
3945 AYERS DR, COLORADO SPRINGS, CO 80920-4952
(719) 393-3653
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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