Individual
ASHELINE MARMOLEJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12565 ORANGE DR STE 414, DAVIE, FL 33330-4310
(954) 382-9696
Mailing address
12565 ORANGE DR STE 414, DAVIE, FL 33330-4310
(954) 382-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28454
FL
Other
Enumeration date
04/25/2023
Last updated
04/10/2024
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