Ambrose Dental Office

NPI #1588981104 in Mangum, Oklahoma

Provider Information

NPI Number: 1588981104
Entity Type: Organization
Organization Name: Ambrose Dental Office
Primary Specialty: Dentist
Enumeration Date: Apr 21, 2010
Last Updated: Apr 21, 2010

Practice Location

Address: 1410 1/2 N LOUIS TITTLE AVE
City: Mangum
State: Oklahoma
ZIP Code: 73554-2218
Phone: (580) 782-5513

Authorized Official

Name: DR. JAMES K. AMBROSE, D.D.S.
Title: OWNER
Phone: (580) 782-5513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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