Individual
ANDREW AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 DOCTORS DR, SUITE A, JACKSONVILLE, NC 28546-6310
(910) 353-5171
(910) 353-8810
Mailing address
200 DOCTORS DR, SUITE A, JACKSONVILLE, NC 28546-6310
(910) 353-5171
(910) 353-8810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9795
NC
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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