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Organization
CHARLES F. LYDY, D.D.S., P.C.
Active
Organization
CHARLES F. LYDY, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES F LYDY D.D.S. (PRESIDENT)
(989) 790-0700
Entity
Organization
Contact information
Practice address
144 N FROST DR, SUITE 1, SAGINAW, MI 48638-7186
(989) 790-0700
(989) 790-7411
Mailing address
144 N FROST DR, SUITE 1, SAGINAW, MI 48638-7186
(989) 790-0700
(989) 790-7411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4053826
—
MI
Enumeration date
10/01/2008
Last updated
10/01/2008
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