Individual
JONATHAN LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 N AVON AVE B, AVON, IN 46123
(317) 272-7206
Mailing address
110 N AVON AVE # B, AVON, IN 46123-8475
(317) 272-7206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012372A
IN
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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