Individual
DR. DANIEL J LODICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
452 W CHURCH ST, ELMIRA, NY 14901-2623
(607) 732-4722
Mailing address
954 SCIO ST, ELMIRA, NY 14901-1830
(607) 732-2494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00395560
—
NY
Enumeration date
09/27/2006
Last updated
07/09/2007
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