Individual
DR. HENRY NISHAN AMBROOKIAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 OAK ST, WEST BEND, WI 53095-3800
(262) 334-7172
(262) 334-7166
Mailing address
11405 N CARRIAGE CT, MEQUON, WI 53092-2145
(262) 242-2350
(262) 238-1472
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5001837-015
WI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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