Ambrose, Justin Tyler
Ambrose, Justin Tyler is an individual health care provider with primary practice located at 5632 The Alameda , Baltimore MD 21239-2737. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Ambrose, Justin Tyler can be contacted via phone (410) 435-0008.Contact Information
Primary practice address
5632 The Alameda
Baltimore MD 21239-2737
Phone: (410) 435-0008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH.002025759 | Colorado |
| Dental Providers / Dental Hygienist | 124Q00000X | 7293 | Maryland |
Profile Details
| NPI number | 1912677220 |
|---|---|
| LBN Legal business name | Ambrose, Justin Tyler |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2021 |
| Last updated | Sep 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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