Individual
DR. LYDIA MARIA CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7676 N CANTON CENTER RD, CANTON, MI 48187-1500
(734) 354-9500
Mailing address
12109 ADDINGTON DR, COMMERCE TOWNSHIP, MI 48390-4016
(248) 590-6791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022102
MI
1223G0001X
General Practice Dentistry
2901022102
MI
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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