Organization
AMBASSADOR PRACTICE MANAGEMENT, LLC
Active
Other names
SC Cosmetic & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NACHUM AUGENBAUM DDS (OWNER / MANAGER)
(864) 647-9000
Entity
Organization
Contact information
Practice address
104 W OAK HWY, WESTMINSTER, SC 29693-2226
(864) 647-9000
(425) 671-0756
Mailing address
123 GROVE AVE, #101, CEDARHURST, NY 11516-2322
(425) 503-1607
(425) 671-0756
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3059
SC
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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