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Organization
AMBROSE PEDIATRIC DENTISTRY OF WARNER ROBINS, LLC
Active
Organization
AMBROSE PEDIATRIC DENTISTRY OF WARNER ROBINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WOOD (OFFICE MANAGER)
(478) 275-7551
Entity
Organization
Contact information
Practice address
4993 RUSSELL PKWY, PLANTATION MILL SUITE 100, WARNER ROBINS, GA 31088-3120
(478) 743-0901
Mailing address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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