Individual
ASHLEY BROOKE WINTERBOTTOM WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7957
Mailing address
718 E GEORGIA ST APT 406, INDIANAPOLIS, IN 46202-3977
(801) 822-1235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014819A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/15/2025
Last updated
06/25/2025
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