Individual
MRS. ASHTON BLAKE FIORAVANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1690 RIVER STREET, WILKESBORO, NC 28697
(336) 838-9400
Mailing address
1723 ASH GROVE LANE, CLEMMONS, NC 27012
(919) 468-2030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10062
NC
Other
Enumeration date
07/07/2015
Last updated
06/28/2021
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