Individual
DR. ASHLEY ROSE DEACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1331 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-1444
(816) 279-1450
Mailing address
1331 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 232-1444
(816) 279-1450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018018449
MO
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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