# GLEN ELLYN PEDIATRIC DENTISTRY ,P.C..

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lance Lambert D.D.S., P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043390792
- **Authorized official:** MRS. MARTHA A LAMBERT R.D., M.P.H. (CORP SECRETARY/TREASURER, MANAGER)
- **Authorized official phone:** (630) 858-8755

## Contact information

- **Practice address:** 45 S PARK BLVD, SUITE \#105, GLEN ELLYN, IL 60137-6280
- **Practice address phone:** (630) 858-8755
- **Practice address fax:** (630) 858-6204
- **Mailing address:** 45 S PARK BLVD, SUITE \#105, GLEN ELLYN, IL 60137-6280
- **Mailing address phone:** (630) 858-8755
- **Mailing address fax:** (630) 858-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020