Individual
RYLIE LODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 W BUTTERNUT RD, SUMMERVILLE, SC 29483-5585
(843) 970-7299
Mailing address
7228 OAKENSHAW DR, FISHERS, IN 46038-2764
(317) 313-6824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10521
SC
Other
Enumeration date
04/04/2023
Last updated
08/09/2023
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