Individual
DR. AMBROSE MILLER MARTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2610 ESPLANADE AVE, NEW ORLEANS, LA 70119-3321
(504) 482-9919
(504) 482-9921
Mailing address
2610 ESPLANADE AVE, NEW ORLEANS, LA 70119-3321
(504) 482-9919
(504) 482-9921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4671
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1846716
—
LA
01
—
970847
UNITED CONCORDIA
LA
Enumeration date
02/21/2007
Last updated
07/08/2007
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