Organization
RICCARDO I AMBROGIO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICCARDO IGNAZIO AMBROGIO DMD (PRESIDENT)
(860) 257-6994
Entity
Organization
Contact information
Practice address
899 SILAS DEANE HIGHWAY, WETHERSFIELD, CT 06109
(860) 257-6994
(860) 571-7492
Mailing address
PO BOX 290916, WETHERSFIELD, CT 06129-0916
(860) 257-6994
(860) 571-7492
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
007378
CT
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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