Individual
DR. BRYAN H LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4255 N EAGLE RD STE 102, BOISE, ID 83713-0701
(208) 344-6300
(082) 938-9906
Mailing address
5898 S. QUAMASH WAY, BOISE, ID 83716-0000
(208) 395-1000
(208) 395-1019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2493
NV
122300000X
Dentist
Primary
D-3935
ID
122300000X
Dentist
D-6505
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8076727
—
ID
Enumeration date
05/15/2007
Last updated
08/12/2024
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