Timothy L. Ambrose, DDS

NPI #1003850116 in Gallup, New Mexico

Provider Information

NPI Number: 1003850116
Entity Type: Individual
Name: Timothy L. Ambrose, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 16, 2006
Last Updated: Apr 16, 2008

Practice Location

Address: 516 E. NIZHONI BLVD.
City: Gallup
State: New Mexico
ZIP Code: 87301-1337
Phone: (505) 722-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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