Individual
FREDERICK BROCK LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1467 PALMA RD, SUITE 3, BULLHEAD CITY, AZ 86442-6785
(928) 763-2516
Mailing address
1467 PALMA RD, SUITE 3, BULLHEAD CITY, AZ 86442-6785
(928) 763-2516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2092
AZ
Other
Enumeration date
08/22/2009
Last updated
08/22/2009
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