Individual
DR. ASHLEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9292 N MERIDIAN ST STE 210, INDIANAPOLIS, IN 46260-1828
(317) 843-2204
Mailing address
9292 N MERIDIAN ST STE 210, INDIANAPOLIS, IN 46260-1828
(317) 843-2204
(317) 843-2478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10417
KY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
10417
KY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12011677A
IN
Other
Enumeration date
07/11/2011
Last updated
04/12/2023
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