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1710240056
AMBILY MATHEW
CARROLLTON, TX
NPI
1710240056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 27937)
Enumeration Date
2012-06-21
Last Update Date
2012-06-21
Business Address
-- AMBILY MATHEW
2403 LACY LN
CARROLLTON, TX 75006-6514
Phone number: 972-869-3789
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Mailing Address
-- AMBILY MATHEW
2403 LACY LN
CARROLLTON, TX 75006-6514
Phone number: 972-869-3789
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