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1447366307
JERROLD ROBERT AMBROSE
HADDAM, CT
NPI
1447366307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CT 4522)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Dr. JERROLD ROBERT AMBROSE DMD
1584 SAYBROOK RD
HADDAM, CT 06438
Phone number: 860-345-2404
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Mailing Address
Dr. JERROLD ROBERT AMBROSE DMD
1584 SAYBROOK ROAD
HADDAM, CT 06438
Phone number: 860-345-2404
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