Individual
DR. MALLORI ASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 BECKETT LN STE 404, FAYETTEVILLE, GA 30214-7159
(770) 461-0400
Mailing address
101 BECKETT LN STE 404, FAYETTEVILLE, GA 30214-7159
(404) 451-0559
(770) 461-0400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123606
GA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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