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Individual

ASHLEY BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2224 1ST AVE W, WILLISTON, ND 58801-6286
(701) 774-0259
Mailing address
805 15TH AVE W, WILLISTON, ND 58801-4515
(701) 770-6980

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901022691
MI
1223G0001X
General Practice Dentistry
Primary
2353
ND
1223G0001X
General Practice Dentistry
2901022691
MI

Other

Enumeration date
06/12/2018
Last updated
07/02/2019
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