Individual
ASHLEY MARIE NOWDOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1353 E MOUND RD STE 101, DECATUR, IL 62526-3600
(178) 757-6002
Mailing address
5700 HIGHLANDS PLAZA DR APT 5036, SAINT LOUIS, MO 63110-1378
(708) 897-7259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018019657
MO
Other
Enumeration date
06/19/2018
Last updated
08/14/2019
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