Organization
RIO COLORADO DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK BROCK LAMB DDS (PRESIDENT)
(928) 763-2515
Entity
Organization
Contact information
Practice address
1467 PALMA ROAD, SUITE 3, BULLHEAD CITY, AZ 86442
(928) 763-2515
(928) 758-4267
Mailing address
1467 PALMA ROAD, SUITE 3, BULLHEAD CITY, AZ 86442
(928) 763-2515
(928) 758-4267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2092
AZ
Other
Enumeration date
11/15/2006
Last updated
09/05/2012
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