Individual
ALICIA GRACE AMBROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
415 W MAIN ST, RURAL VALLEY, PA 16249-4505
(724) 954-4955
Mailing address
415 W MAIN ST, RURAL VALLEY, PA 16249-4505
(724) 954-4955
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH071626
PA
124Q00000X
Dental Hygienist
DHA001934
PA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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