Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 30.024508 | OH |
NPI | 1003297508 |
---|---|
Provider Name | Ashley Papesh Place |
First Address | Dublin, OH 43016-8214 |
Second Address | Dublin, OH 43016-8214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2015 |
Last Update Date | 01/07/2015 |