Individual
DR. JESSICA ANNA ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 N GATEWAY DR STE 175, PROVIDENCE, UT 84332-9825
(435) 752-0605
Mailing address
2350 S HIGHWAY 89 APT 17, PERRY, UT 84302-5588
(435) 230-0350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10842218-9922
UT
1223G0001X
General Practice Dentistry
10842218-9922
UT
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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