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Individual
MADELINE LYNCH
Active
Individual
MADELINE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
T7305
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200916110A
—
OK
Enumeration date
06/15/2020
Last updated
06/29/2021
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