Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | RES3495 | OH |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 30025166 | OH |
NPI | 1922414184 |
---|---|
Provider Name | Dr. Ashleigh Briody |
First Address | Westerville, OH 43082-7647 |
Second Address | Westerville, OH 43082-7647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2014 |
Last Update Date | 30/04/2021 |