Individual
DR. MICHELLE YOUNG VIDIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2700 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-3738
(937) 439-3180
Mailing address
1365 LAMPLIGHTER LN, FAIRBORN, OH 45324-8521
(937) 767-7168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5351
OH
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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