Individual
DR. AMBRE A. EHLERT KRAGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
217 WHITE OAK DR, CANTON, GA 30114-7777
(206) 854-8585
(770) 213-8954
Mailing address
217 WHITE OAK DR, CANTON, GA 30114-7777
(206) 854-8585
(770) 213-8954
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN014935
GEORGIA DENTAL LICENSE
GA
Enumeration date
03/30/2015
Last updated
03/01/2016
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