Individual
DR. TERRI MARTINA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
932 ALBANY AVE, BROOKLYN, NY 11203-4022
(718) 755-9631
Mailing address
932 ALBANY AVE, BROOKLYN, NY 11203-4022
(718) 755-9631
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
16383
MD
1223P0221X
Pediatric Dentistry
Primary
50057933
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
03/04/2022
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