DR. Narissa Bawalan Ambata, DDS

NPI #1538582564 in Maywood, California

Provider Information

NPI Number
1538582564
Entity Type
Individual
Name
DR. Narissa Bawalan Ambata, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 27, 2014
Last Updated
Jan 27, 2020

Practice Location

Address
4509 SLAUSON AVE
Address 2
SUITE B
ZIP Code
90270-2954
Phone
(323) 560-8999

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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