DR. Dennis Lichorwic

NPI #1568598290 in Destin, Florida

Provider Information

NPI Number: 1568598290
Entity Type: Individual
Name: DR. Dennis Lichorwic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4635 GULFSTARR DRIVE
Address 2: SUITE 200
City: Destin
State: Florida
ZIP Code: 32541
Phone: (850) 654-8665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
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