| NPI | 1285029157 |
|---|---|
| Former Name | AMBRE A. EHLERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014935) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-03-01 |