Michael Lydick D.D.S.

NPI 1063490332 - Dentist - 1223G0001X

NPI Details
NPI 1063490332
Gender Male
Enumeration Date 01/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8939 E 38TH ST
#23
INDIANAPOLIS IN, 46226-6032, US
Phone (317) 898-2822
Fax
Business Location
8939 E 38TH ST
#23
INDIANAPOLIS IN, 46226-6032, US
Phone (317) 898-2822
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12007558
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According to our database, Dr. Michael Lydick D.D.S. NPI is 1063490332, taxonomy code is 1223G0001X and license number is 12007558, license state is located at Indiana. Michael Lydick D.D.S. physically located at 8939 E 38th St, Indianapolis IN, 46226-6032. NPI Number Michael Lydick D.D.S. has the Individual type.

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1063490332 NPI number is provided on an as is basis without warranty of any kind. 1063490332 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Lydick D.D.S. are for informational purposes only.