Individual
DR. ASHLEY YONSOOK KI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
23 CENTRAL ST, MORAVIA, NY 13118-7709
(607) 344-0052
(607) 344-0056
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02543180
—
NY
Enumeration date
12/05/2006
Last updated
01/07/2020
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