Organization
AMBROSE PEDIATRIC DENTISTRY OF DUBLIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AMBROSE JR. DMD (OWNER/DENTIST)
(478) 275-7551
Entity
Organization
Contact information
Practice address
109 FAIRVIEW PARK DR STE A, DUBLIN, GA 31021-2562
(478) 275-7551
(478) 272-3383
Mailing address
109 FAIRVIEW PARK DR STE A, DUBLIN, GA 31021-2562
(478) 275-7551
(478) 272-3383
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9603
GA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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