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Individual
DR. ALDRICH SY
Active
Individual
DR. ALDRICH SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7847
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60826
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60826
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A139932
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2009
Last updated
12/20/2016
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