Individual
DR. JOHN JOSEPH AMBARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
36 BOW ST, SOMERVILLE, MA 02143-2934
(617) 776-5550
Mailing address
36 BOW ST, SOMERVILLE, MA 02143-2934
(617) 776-5550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11937
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226491
—
MA
Enumeration date
10/17/2006
Last updated
07/08/2007
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