Individual
DR. VALERIE W AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
(478) 745-8615
Mailing address
160 PIERCE AVE, MACON, GA 31204-2871
(478) 743-0901
(478) 745-8615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013328
GA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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