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Individual

DR. STEVEN E LYNN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2920 MCINTYRE DR, SUITE 200, BLOOMINGTON, IN 47403-4221
(812) 323-8112
(812) 323-8113
Mailing address
2920 MCINTIRE DR., SUITE 200, BLOOMINGTON, IN 47403-4213
(812) 323-8112

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007261A
IN

Other

Enumeration date
05/12/2006
Last updated
07/08/2007
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