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Organization

ASHLEY & GRAY D.D.S.'S

Active
Parent organization
ASHLEY & GRAY D.D.S.'S
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASHLEY & GRAY D.D.S.'S
Authorized official
DR. DAVID A. ASHLEY D.D.S. (PARTNER)
(816) 252-9190
Entity
Organization

Contact information

Practice address
1520 E 23RD STR, STE Q, INDEPENDENCE, MO 64055
(816) 252-9190
(816) 252-9390
Mailing address
1520 E 23RD STR, STE Q, INDEPENDENCE, MO 64055
(816) 252-9190
(816) 252-9390

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13315
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
401201108
MO
Enumeration date
02/08/2017
Last updated
02/08/2017
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