Individual
ELISE L ASHPOLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 454-1144
(770) 452-4468
Mailing address
912 HOMEWOOD CT, DECATUR, GA 30033-4203
(404) 327-9982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012450
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00981736A
—
GA
Enumeration date
05/15/2006
Last updated
07/08/2007
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