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Individual

DR. LAURENCE SCOTT AMBROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 222-6424
Mailing address
5228 E ANGELA DR, SCOTTSDALE, AZ 85254-7532
(602) 485-0064

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8255
CO

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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