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Dr. Terri Martina Ambrose, DDS

Dentist, Pediatric Dentistry in Brooklyn, NY. Individual provider (NPI-1).

NPI number1972914331
StatusActive
Last updated in NPPESMar 4, 2022

Details

NPI
1972914331
Entity type
Individual (NPI-1)
Name
Dr. Terri Martina Ambrose
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
May 19, 2014
Certification date
Feb 24, 2022
Last updated
Mar 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry50057933NYYes
1223P0221X Dentist, Pediatric Dentistry16383MD
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

932 Albany Ave
Brooklyn, NY 11203-4022

Phone 718-755-9631

Mailing address

932 Albany Ave
Brooklyn, NY 11203-4022

Phone 718-755-9631

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