Organization
COSMETIC, FAMILY & SPORTS DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS LEE LAMBERT D.D.S. (OWNER)
(952) 922-9119
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S, SUITE 585, EDINA, MN 55435-2131
(952) 922-9119
(952) 922-2628
Mailing address
6545 FRANCE AVE S, SUITE 585, EDINA, MN 55435-2131
(952) 922-9119
(952) 922-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2007
Last updated
08/22/2020
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