Individual
ASHLEY MADERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5855 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 806-7000
(623) 806-7010
Mailing address
1608 W WHITE FEATHER LN, PHOENIX, AZ 85085-5341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10496
NC
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
D011491
AZ
Other
Enumeration date
09/09/2016
Last updated
07/26/2022
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