Provider Demographics
NPI:1528118650
Name:LAMBETECCHIO, CATHERINE ANTOINETTE (DDS)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANTOINETTE
Last Name:LAMBETECCHIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9495 N FORT WASHINGTON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730
Mailing Address - Country:US
Mailing Address - Phone:559-434-2220
Mailing Address - Fax:559-433-9007
Practice Address - Street 1:9495 N FORT WASHINGTON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730
Practice Address - Country:US
Practice Address - Phone:559-434-2220
Practice Address - Fax:559-433-9007
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA35930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
B3593001OtherMEDICAL DENTICAL