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Individual

ASHLEY GOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
420 PARK ST STE 101, BELMONT, NC 28012-3393
(704) 755-4600
Mailing address
420 PARK ST STE 101, BELMONT, NC 28012-3393
(704) 755-4600

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9165
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5918220
NC
Enumeration date
04/06/2009
Last updated
10/23/2023
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