Michael Lysonski DDS LLC
NPI #1427513902 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1427513902
- Entity Type
- Organization
- Organization Name
- Michael Lysonski DDS LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1917 OLD US 66
- Address 2
- SUITE B-C-D1
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-6799
- Phone
- (262) 391-6179
Authorized Official
- Name
- DR. MICHAEL LYSONSKI, DDS
- Title
- DR.
- Phone
- (262) 391-6179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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