Individual
ASHLA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
450 N HIGHWAY 67 STE 100, CEDAR HILL, TX 75104-2136
(972) 291-5720
(972) 291-5730
Mailing address
450 N HIGHWAY 67 STE 100, CEDAR HILL, TX 75104-2136
(972) 291-5720
(972) 291-5730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5873
LA
1223P0221X
Pediatric Dentistry
Primary
25216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25216
STATE LICENSE
TX
01
—
5873
STATE LICENSE
LA
Enumeration date
12/03/2007
Last updated
10/12/2018
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