DR. Jerrold Robert Ambrose, DMD

NPI #1447366307 in Haddam, Connecticut

Provider Information

NPI Number: 1447366307
Entity Type: Individual
Name: DR. Jerrold Robert Ambrose, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1584 SAYBROOK RD
City: Haddam
State: Connecticut
ZIP Code: 06438
Phone: (860) 345-2404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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