| Lance Lambert D.d.s., P.c. | |
|
45 S Park Blvd Suite #105 Glen Ellyn IL 60137-6280 | |
| (630) 858-8755 | |
| (630) 858-6204 |
| Full Name | Lance Lambert D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 45 S Park Blvd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Martha A Lambert (CORP SECRETARY/TREASURER, MANAGER) |
| Authorized Official Contact | 6308588755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Lambert D.d.s., P.c. 45 S Park Blvd Suite #105 Glen Ellyn IL 60137-6280 Ph: (630) 858-8755 | Lance Lambert D.d.s., P.c. 45 S Park Blvd Suite #105 Glen Ellyn IL 60137-6280 Ph: (630) 858-8755 |
| NPI Number | 1043390792 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043390792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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