Organization
JOHN J. AMBARIK DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH AMBARIK D.D.S (PRESIDENT)
(617) 776-5550
Entity
Organization
Contact information
Practice address
36 BOW ST, SOMERVILLE, MA 02143-2934
(617) 776-5550
Mailing address
36 BOW ST, SOMERVILLE, MA 02143-2934
(617) 776-5550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11937
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9765573
—
MA
Enumeration date
10/17/2006
Last updated
08/22/2020
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