Individual
ASHLEY LOFTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8363
Mailing address
54 NOLL ST APT 644, BROOKLYN, NY 11206-5357
(203) 449-6968
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
063161-01
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22DI02946800
NJ
Other
Enumeration date
03/31/2018
Last updated
11/01/2024
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