Individual
MICHAEL D'AMBROSIO-ZURCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 CUDE LN, MADISON, TN 37115-2201
(615) 851-7999
Mailing address
103 CUDE LN, MADISON, TN 37115-2201
(615) 851-7999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11189
TN
1223G0001X
General Practice Dentistry
34249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11189
DENTAL LICENSE
TN
01
—
34249
DENTAL LICENSE
TX
Enumeration date
06/19/2018
Last updated
04/06/2021
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