Individual
DR. ASHLEY PUTHIYADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2719 HIGHWAY 52, MONCKS CORNER, SC 29461-5040
(854) 201-2721
Mailing address
5130 JEFFERSON ST, HOLLYWOOD, FL 33021-7116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11294
SC
122300000X
Dentist
Primary
28260
FL
Other
Enumeration date
09/11/2023
Last updated
02/12/2026
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