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Organization

AMBROSE PEDIATRIC DENTISTRY OF MILLEDGEVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TINA LOCHER (REGIONAL MANAGER)
(478) 743-0901
Entity
Organization

Contact information

Practice address
2485 N COLUMBIA ST STE 89, MILLEDGEVILLE, GA 31061-5400
(478) 210-6625
Mailing address
120 N LEE ST STE J, FORSYTH, GA 31029-2122
(478) 992-6507

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/11/2023
Last updated
01/16/2024
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