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Individual

MR. MARK H LIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13203 N 103RD AVE, #H1, SUN CITY, AZ 85351
(623) 972-7322
(623) 972-0283
Mailing address
13203 N 103RD AVE, #H1, SUN CITY, AZ 85351
(623) 972-7322
(623) 972-0283

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2769
AZ

Other

Enumeration date
05/07/2008
Last updated
05/07/2008
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