Individual
DR. RUSSELL D ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3286 PENTAGON PRK BLVD, BEAVERCREEK, OH 45431-1789
(937) 427-1400
(937) 429-9157
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023713
OH
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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