Individual
DR. ASHLEY JAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1931 MAIN ST, GREEN BAY, WI 54302-3920
(888) 988-4066
Mailing address
2127 AIRPARK DR, REDDING, CA 96001-2433
(530) 762-1139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104541
CA
1223G0001X
General Practice Dentistry
1002067
WI
Other
Enumeration date
05/29/2019
Last updated
01/30/2021
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