Organization
TATUM RANCH DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DOUGLAS LAMBORN D.D.S. (OWNER/DENTIST)
(480) 563-5237
Entity
Organization
Contact information
Practice address
29834 N CAVE CREEK RD, #138, CAVE CREEK, AZ 85331-5836
(480) 563-5237
(480) 513-9340
Mailing address
PO BOX 71549, PHOENIX, AZ 85050-1010
(480) 563-5237
(480) 513-9340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3898
AZ
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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