Individual provider · NPI-1

Dr. Marina Ambridge, DDS

Dentist · Peoria, AZ

NPI number1003374919
StatusActive
Last updated in NPPESMar 10, 2019

Details

NPI
1003374919
Entity type
Individual (NPI-1)
Name
Dr. Marina Ambridge
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 10, 2019
Last updated
Mar 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD010254AZYes

Practice location

25355 N Lake Pleasant Pkwy Unit 103
Peoria, AZ 85383-1504

Phone 480-468-0335 · Fax 623-825-6885

Mailing address

25355 N Lake Pleasant Pkwy Unit 103
Peoria, AZ 85383-1504

Phone 480-468-0335 · Fax 623-825-6885

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