Individual
UNI KIM LIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
13203 N 103RD AVE, H-1, SUN CITY, AZ 85351-3028
(623) 972-5800
Mailing address
PO BOX 41728, PHOENIX, AZ 85080-1728
(602) 622-6955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D5520
AZ
1223G0001X
General Practice Dentistry
Primary
D5520
AZ
Other
Enumeration date
07/16/2007
Last updated
01/30/2013
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