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-- TIMOTHY L. AMBROSE -- DDS

Individual Provider (NPI-1) Active

Dentist

Provider Information

NPI Number
1003850116
Provider Type
Individual Provider (NPI-1)
Credentials
DDS
Status
Active

Contact & Location

Address
516 E. NIZHONI BLVD., GALLUP, NM, 873011337
Phone
(505) 722-1000
Fax
(505) 722-1565

Specialties & Taxonomies

Dentist Primary License: NE #5767

All Addresses

MAILING

PO BOX 1337

GALLUP, NM, 873051337

(505) 722-1000

LOCATION

516 E. NIZHONI BLVD.

GALLUP, NM, 873011337

(505) 722-1000