Individual
DR. ASHLEY ABRAHAM CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19251 MACK AVE STE 220, GROSSE POINTE WOODS, MI 48236
(313) 343-7361
Mailing address
19251 MACK AVE STE 220, GROSSE POINTE WOODS, MI 48236-2881
(313) 343-7361
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
29128029
PA
Other
Enumeration date
06/23/2016
Last updated
12/05/2019
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