Individual
DR. AMBROSE JOHN MUENCHRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 W ADAMS ST, NONE, BURNS, OR 97720-1408
(541) 573-7778
Mailing address
555 W ADAMS ST, NONE, BURNS, OR 97720-1408
(541) 573-7778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4156
OR
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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