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Individual

AMBROSE MINH HA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3244 SAN HELENA DR, OCEANSIDE, CA 92056-3261
(760) 576-7493
Mailing address
16428 COMPASS AVE, TUSTIN, CA 92782-2845
(760) 576-7493

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
112732
CA
122300000X
Dentist
Primary
7846
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
112732
CA

Other

Enumeration date
04/24/2023
Last updated
05/08/2026
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