Organization
LYDIATT AND DURU FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S LYDIATT D.D.S. (PARTNER)
(719) 599-5700
Entity
Organization
Contact information
Practice address
6665 DELMONICO DR, SUITE C, COLORADO SPRINGS, CO 80919-6801
(719) 599-5700
Mailing address
6665 DELMONICO DR, SUITE C, COLORADO SPRINGS, CO 80919-6801
(719) 599-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7736
CO
Other
Enumeration date
11/08/2006
Last updated
09/29/2015
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