Individual
DR. CHANDA MARIE ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Contact information
Practice address
211 EDGEWOOD RD, STAUNTON, VA 24401-3418
(540) 885-6815
Mailing address
211 EDGEWOOD RD, STAUNTON, VA 24401-3418
(540) 885-6815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411133
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA1845518
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
DC
Enumeration date
07/18/2011
Last updated
07/18/2011
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