Individual
DR. AKSANA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D, M.S.
Contact information
Practice address
820 LOVE AVE STE A, TIFTON, GA 31794-4000
(706) 288-9582
Mailing address
1249 BRYAN ST W, DOUGLAS, GA 31533-2001
(706) 288-9582
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN014087
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN014087
GA
Other
Enumeration date
09/16/2013
Last updated
07/21/2022
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