Ampt, LLC
NPI #1780426445 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1780426445
- Entity Type
- Organization
- Organization Name
- Ampt, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 12, 2024
- Last Updated
- Jun 12, 2024
Practice Location
- Address
- 2990 RAIDER WAY
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-5372
- Phone
- (573) 785-6699
Authorized Official
- Name
- DR. ANDERSON MARK GILBERTO, DDS
- Title
- OWNER
- Phone
- (573) 785-6699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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