Individual
DR. ASHLEY ROSE GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
232 RICHMOND AVE E, MATTOON, IL 61938-4652
(217) 235-0448
Mailing address
2809 WILLOW BEND RD, CHAMPAIGN, IL 61822-7580
(562) 212-6092
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033629
IL
Other
Enumeration date
05/31/2022
Last updated
06/14/2022
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