Individual
DR. AUSTIN LOREN LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
530 NE 140TH ST, NORTH MIAMI, FL 33161-3156
(205) 492-0475
Mailing address
530 NE 140TH ST, NORTH MIAMI, FL 33161-3156
(205) 492-0475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040820
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN22297
FL
Other
Enumeration date
05/26/2016
Last updated
07/27/2021
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