# RICCARDO I AMBROGIO DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922292499
- **Authorized official:** DR. RICCARDO IGNAZIO AMBROGIO DMD (PRESIDENT)
- **Authorized official phone:** (860) 257-6994

## Contact information

- **Practice address:** 899 SILAS DEANE HIGHWAY, WETHERSFIELD, CT 06109
- **Practice address phone:** (860) 257-6994
- **Practice address fax:** (860) 571-7492
- **Mailing address:** PO BOX 290916, WETHERSFIELD, CT 06129-0916
- **Mailing address phone:** (860) 257-6994
- **Mailing address fax:** (860) 571-7492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 007378 | CT | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 08/28/2007