NPI:
1043390792
Provider Name:
GLEN ELLYN PEDIATRIC DENTISTRY ,P.C..
Doing Business As: LANCE LAMBERT D.D.S., P.C.
Classification:
Dentist - 1223P0221X
Entity Type:
Organization
Specialization: Pediatric Dentistry
Address:
45 S PARK BLVD
SUITE #105
GLEN ELLYN, IL
ZIP 60137
Phone:
(630) 858-8755
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GLEN ELLYN PEDIATRIC DENTISTRY ,P.C.. is a pediatric dentistry dentist in Glen Ellyn, IL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GLEN ELLYN PEDIATRIC DENTISTRY ,P.C.. NPI is 1043390792. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lance Lambert D.d.s., P.c..
The provider's business location address is:
45 S PARK BLVD
SUITE #105
GLEN ELLYN, IL
ZIP 60137-280
Phone: (630) 858-8755
Fax: (630) 858-6204
The provider's authorized official is Martha A Lambert .
The authorized official title is Corp Secretary/treasurer, Manager and has the following contact phone number (630) 858-8755.
The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/22/2020.