Individual
MITCHELL GARRETT LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11307
OR
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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