Provider Demographics
NPI:1902534142
Name:ROBIN LAMBERT MELLS DDS A DENTAL CORPORATION
Entity Type:Organization
Organization Name:ROBIN LAMBERT MELLS DDS A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ELISE LAMBERT
Authorized Official - Last Name:MELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-702-8543
Mailing Address - Street 1:645 E ELDER ST STE A
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-3084
Mailing Address - Country:US
Mailing Address - Phone:760-728-8375
Mailing Address - Fax:
Practice Address - Street 1:645 E ELDER ST STE A
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-3084
Practice Address - Country:US
Practice Address - Phone:760-728-8375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty