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1003850116
TIMOTHY L. AMBROSE
GALLUP, NM
NPI
1003850116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 5767)
Enumeration Date
2006-06-16
Last Update Date
2008-04-16
Business Address
-- TIMOTHY L. AMBROSE DDS
516 E. NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
-- TIMOTHY L. AMBROSE DDS
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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