Individual
DR. KEVIN R LYDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3803 S HAMILTON RD, GROVEPORT, OH 43125-9330
(614) 864-2466
Mailing address
3803 S HAMILTON RD, GROVEPORT, OH 43125-9330
(614) 864-2466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026457
OH
Other
Enumeration date
05/10/2021
Last updated
07/14/2022
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