Jade Lyles, DMD

NPI #1184856320 in Eden Prairie, Minnesota

Provider Information

NPI Number: 1184856320
Entity Type: Individual
Name: Jade Lyles, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 21, 2009
Last Updated: Jan 24, 2012

Practice Location

Address: 8353 CRYSTAL VIEW RD
City: Eden Prairie
State: Minnesota
ZIP Code: 55344-7324
Phone: (952) 252-4000

Specialties & Taxonomy Codes

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

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