Individual
DR. CLINTON THOMAS AMBROSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 E WASHINGTON ST, CLARINDA, IA 51632-1611
(712) 542-5196
Mailing address
302 W NISHNA ST, CLARINDA, IA 51632-1000
(319) 321-4082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08908
IA
Other
Enumeration date
05/15/2012
Last updated
06/29/2012
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