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Individual
DR. MICHAEL S DWYER
Active
Individual
DR. MICHAEL S DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A D.D.S M.S
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D11072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118721
UNITED CONCORDIA
TX
01
—
81D741
BLUECROSSBLUESHIELD
TX
Enumeration date
09/06/2006
Last updated
07/08/2007
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