| Ambrose Pediatric Dentistry Of Warner Robins, Llc | |
|
4993 Russell Pkwy Plantation Mill Suite 100 Warner Robins GA 31088-3120 | |
| (478) 743-0901 | |
| Not Available |
| Full Name | Ambrose Pediatric Dentistry Of Warner Robins, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4993 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Lori Wood (OFFICE MANAGER) |
| Authorized Official Contact | 4782757551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambrose Pediatric Dentistry Of Warner Robins, Llc 160 Pierce Ave Macon GA 31204-2871 Ph: (478) 743-0901 | Ambrose Pediatric Dentistry Of Warner Robins, Llc 4993 Russell Pkwy Plantation Mill Suite 100 Warner Robins GA 31088-3120 Ph: (478) 743-0901 |
| NPI Number | 1063075893 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063075893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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