| Ambrose Pediatric Dentistry Of Dublin, Llc | |
|
109 Fairview Park Dr Ste A Dublin GA 31021-2562 | |
| (478) 275-7551 | |
| (478) 272-3383 |
| Full Name | Ambrose Pediatric Dentistry Of Dublin, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 109 Fairview Park Dr Ste A, Dublin, Georgia |
| Authorized Official Name and Position | John Ambrose (OWNER/DENTIST) |
| Authorized Official Contact | 4782757551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambrose Pediatric Dentistry Of Dublin, Llc 109 Fairview Park Dr Ste A Dublin GA 31021-2562 Ph: (478) 275-7551 | Ambrose Pediatric Dentistry Of Dublin, Llc 109 Fairview Park Dr Ste A Dublin GA 31021-2562 Ph: (478) 275-7551 |
| NPI Number | 1578930095 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578930095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9603 (Georgia) | Primary |
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