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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