Individual
DR. THOMAS JOHN LYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6208 MONTGOMERY BLVD NE, SUITE D, ALBUQUERQUE, NM 87109-1400
(505) 830-9081
(505) 830-9086
Mailing address
6208 MONTGOMERY BLVD NE, SUITE D, ALBUQUERQUE, NM 87109-1400
(505) 830-9081
(505) 830-9086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1122
NM
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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