Individual
DR. JOHN MICHAEL AMBROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4445 HWY 40, STE 405, SAINT MARYS, GA 31558-4099
(912) 510-7123
(912) 510-7126
Mailing address
4445 HWY 40 E, STE 405, SAINT MARYS, GA 31558
(912) 510-7123
(912) 510-7126
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11405
GA
Other
Enumeration date
02/19/2006
Last updated
07/08/2007
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