Organization
AMBIANCE DENTAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARINE GREEN HIGHTOWER DDS (OWNER)
(202) 251-7440
Entity
Organization
Contact information
Practice address
12500 A FAIRWOOD PARKWAY, BOWIE, MD 20720
(301) 262-2624
Mailing address
14815 DOLPHIN WAY, BOWIE, MD 20721
(301) 249-2207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13170
MD
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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