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1316158009
WILLIAM LESLIE AMBROSE
JEFFERSON CITY, MO
NPI
1316158009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 12670)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM LESLIE AMBROSE D.D.S.
207 METRO DR
JEFFERSON CITY, MO 65109-1134
Phone number: 573-634-3316
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Mailing Address
Dr. WILLIAM LESLIE AMBROSE D.D.S.
207 METRO DR
JEFFERSON CITY, MO 65109-1134
Phone number: 573-634-3316
Copy
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