Ehlert Kragor, Ambre A.

Ehlert Kragor, Ambre A. is an individual health care provider with primary practice located at 217 White Oak Dr , Canton GA 30114-7777. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Ehlert Kragor, Ambre A. can be contacted via phone (206) 854-8585.

Contact Information

Primary practice address
217 White Oak Dr Canton GA 30114-7777
Phone: (206) 854-8585
Fax: (770) 213-8954
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN014935 Georgia

Profile Details

NPI number 1285029157
LBN Legal business name Ehlert Kragor, Ambre A.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Mar 1st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285029157 NPPES
Georgia Other DN014935 GEORGIA DENTAL LICENSE

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