Individual
BROOKE ASHLEY ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4402
(262) 223-0280
Mailing address
12665 W 28TH PL, BEACH PARK, IL 60099-9735
(847) 553-6898
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10755-16
WI
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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