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DR. LUISA AMBROSIANO D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1215076724

Individual Registrant:
DR. LUISA  AMBROSIANO D.D.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
770 TAMALPAIS DR SUITE #205 CORTE MADERA, CA 94925-1700 US
Tel: 415-924-2022  Fax: 415-924-1371

Contact information for business:
770 TAMALPAIS DR SUITE #205 CORTE MADERA, CA 94925-1700 US
Tel: 415-924-2022  Fax: 415-924-1371

Registration Information:
NPI: 1215076724
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA28421

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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