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DR. LUISA AMBROSIANO D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1215076724
Individual Registrant:DR. LUISA AMBROSIANO D.D.S.
Gender: F
Sole Proprietor
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
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
Tel: 415-924-2022 Fax: 415-924-1371
Registration Information:
NPI: 1215076724
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 28421 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
