Individual
DR. JAMES K. AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1410 1/2 N LOUIS TITTLE AVE, MANGUM, OK 73554-2218
(580) 782-5513
(580) 782-5156
Mailing address
PO BOX 326, MANGUM, OK 73554-0326
(580) 782-5513
(580) 782-5156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4334
OK
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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