Provider Demographics
NPI:1700896180
Name:LAMBOY, CARLOS VICTOR (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:VICTOR
Last Name:LAMBOY
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:4422 DE ZAVALA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2013
Mailing Address - Country:US
Mailing Address - Phone:210-696-3001
Mailing Address - Fax:210-764-1989
Practice Address - Street 1:4422 DE ZAVALA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2013
Practice Address - Country:US
Practice Address - Phone:210-696-3001
Practice Address - Fax:210-764-1989
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX252701223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics