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General NPI Number Information
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NPI Number | 1245942929
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Entity Type | Organization
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Legal Business Name | LAMBERTON DENTAL GROUP INC.
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 3449 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 707-887-5072
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Fax |
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Provider Business Mailing Address
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Address Line | 3270 BEARD RD
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City | NAPA
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State | CA
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Zip | 94558-3406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | JORDAN ALEXANDER LAMBERTON
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Credential | DDS
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Telephone | 707-815-8974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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