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Organization

FLAVIA LAMBERGHINI PC

Active
Other names
apple dental care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FLAVIA LAMBERGHINI DDS,MS,MPH (OWNER)
(773) 384-3500
Entity
Organization

Contact information

Practice address
3012 W FULLERTON AVE, CHICAGO, IL 60647-2808
(773) 384-3500
(773) 384-3510
Mailing address
3012 W FULLERTON AVE, CHICAGO, IL 60647-2808
(773) 384-3500
(773) 384-3510

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL
1223P0221X
Pediatric Dentistry
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004927
IL
05
9185066
IL
05
9208097
IL
Enumeration date
03/17/2008
Last updated
03/17/2008
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