Individual
JOHN RANDALL ASHENBRENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 COMPASS POINT DR, SAINT CHARLES, MO 63301-4404
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2021019646
MO
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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