Individual
ASHLEY FADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
147 WILSON RD, BENTLEYVILLE, PA 15314-1027
(724) 200-2994
Mailing address
395 KENNEL RD, WAYNESBURG, PA 15370-2603
(724) 833-1051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044272
PA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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