DR. Michael Lydick, D.D.S.

NPI #1063490332 in Indianapolis, Indiana

Provider Information

NPI Number: 1063490332
Entity Type: Individual
Name: DR. Michael Lydick, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8939 E 38TH ST
Address 2: #23
City: Indianapolis
State: Indiana
ZIP Code: 46226-6032
Phone: (317) 898-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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