Provider Demographics
NPI:1972965333
Name:LAMB & MORRICE, A DENTAL CORPORATION
Entity Type:Organization
Organization Name:LAMB & MORRICE, A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-754-2662
Mailing Address - Street 1:3107 LONE TREE WAY STE C
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4959
Mailing Address - Country:US
Mailing Address - Phone:925-754-2662
Mailing Address - Fax:925-754-0751
Practice Address - Street 1:3107 LONE TREE WAY STE C
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4959
Practice Address - Country:US
Practice Address - Phone:925-754-2662
Practice Address - Fax:925-754-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33486122300000X
CA36684122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty