DR. Elise Ambrose, DDS

NPI #1205677655 in Alamosa, Colorado

Provider Information

NPI Number: 1205677655
Entity Type: Individual
Name: DR. Elise Ambrose, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 31, 2024
Last Updated: May 31, 2024

Practice Location

Address: 128 MARKET ST
City: Alamosa
State: Colorado
ZIP Code: 81101-2290
Phone: (719) 587-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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