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DR. FILIP AMBROSIO D.D.S

Dental Providers Dentist

Provider NPI: 1073929261

Provider Information:
DR. FILIP  AMBROSIO D.D.S
Gender: M
Not Sole Proprietor

Practice Location:
2700 MARTIN LUTHER KING JR BLVD  DETROIT, MI 48208-2576 US
Tel: 313-494-6700  Fax: 313-745-4370

Business Mailing Address:
2700 MARTIN LUTHER KING JR BLVD  DETROIT, MI 48208-2576 US
Tel: 313-494-6700  Fax: 313-745-4370

NPI Information:
NPI: 1073929261
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
MI2901021299

Other Provider Identifiers:

IssuerNumberStateType
DENTAL LICENSE NUMBER2901021299MI01



American Medical Association 2012 taxonomy code information

Code: 122300000X

Type:

Classification:



Definition:



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