Individual
MISS ASHLEY JEANETTE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
103 E. FOUNTAIN ST, DODGEVILLE, WI 53533-1749
(608) 935-5550
(608) 935-5168
Mailing address
2901 W BELTLINE HWY, STE 120, MADISON, WI 53713-4226
(608) 443-5603
(608) 443-1981
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11010-16
WI
Other
Enumeration date
10/25/2011
Last updated
04/13/2012
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