Individual
MRS. LUZ MARINA AMBROCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 767-2710
Mailing address
22 TRINITY PL, SELKIRK, NY 12158-8703
(518) 767-2710
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 17741
FL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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