Individual
DR. MICHAEL LYDICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8939 E 38TH ST, #23, INDIANAPOLIS, IN 46226-6032
(317) 898-2822
Mailing address
8939 E 38TH ST, #23, INDIANAPOLIS, IN 46226-6032
(317) 898-2822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007558
IN
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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