Individual
ASHLEY MARIE DE LA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6327 ARGYLE FOREST BLVD, JACKSONVILLE, FL 32244-6667
(904) 772-8898
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7910
(508) 860-7774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL15493
MA
Other
Enumeration date
06/11/2022
Last updated
05/12/2025
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