AMBROSE DENTAL OFFICE
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1588981104- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1410 1/2 N LOUIS TITTLE AVE, MANGUM, OK, 735542218
- Phone
- (580) 782-5513
- Fax
- (580) 782-5156
Specialties & Taxonomies
Dentist
Primary License: OK #4334