DR. Susannah Elizabeth Lyddon, DMD

NPI #1972161214 in Pontiac, Michigan

Provider Information

NPI Number: 1972161214
Entity Type: Individual
Name: DR. Susannah Elizabeth Lyddon, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DMD
Enumeration Date: Jun 2, 2019
Last Updated: Jun 2, 2019

Practice Location

Address: 44405 WOODWARD AVE
City: Pontiac
State: Michigan
ZIP Code: 48341-5023
Phone: (248) 858-3234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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