Individual
DR. ASHLEY TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
570 N LOS ROBLES AVE APT 7, PASADENA, CA 91101-1092
(585) 309-2592
Mailing address
570 N LOS ROBLES AVE APT 7, PASADENA, CA 91101-1092
(585) 309-2592
(585) 273-1235
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104669
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2015
Last updated
07/16/2020
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