Individual
MS. AMBAR ROBERLY LORA MELENCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PORPHY TECHNICIAN
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-7463
Mailing address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-7463
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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