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1588981104
AMBROSE DENTAL OFFICE
MANGUM, OK
NPI
1588981104
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Entity Type
Organization
Authorized Contact
JAMES K. AMBROSE
Owner
580-782-5513
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 4334)
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
AMBROSE DENTAL OFFICE
1410 1/2 N LOUIS TITTLE AVE
MANGUM, OK 73554-2218
Phone number: 580-782-5513
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Mailing Address
AMBROSE DENTAL OFFICE
PO BOX 326
MANGUM, OK 73554-0326
Phone number: 580-782-5513
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