Ambida Family Dentistry, PC
Dentist, General Practice in Lone Tree, CO. Organization (NPI-2).
NPI number1205089083
StatusActive
Last updated in NPPESOct 27, 2008
Details
- NPI
- 1205089083
- Entity type
- Organization (NPI-2)
- Legal business name
- Ambida Family Dentistry, PC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2008
- Last updated
- Oct 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7930 | CO | Yes |
Practice location
9695 S Yosemite St Ste 225Lone Tree, CO 80124-2890
Phone 303-790-8338 · Fax 300-379-0833
Mailing address
9695 S Yosemite St Ste 225Lone Tree, CO 80124-2890
Phone 303-790-8338 · Fax 300-379-0833
Authorized official
Sandra Cleto Ambida
President
3037908338
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