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Individual

LYNN DELL BODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2000 NATIONAL RD W, RICHMOND, IN 47374-3854
(765) 488-1072
(765) 381-1031
Mailing address
2000 NATIONAL RD W, RICHMOND, IN 47374-3854
(765) 488-1072
(765) 381-1031

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011792A
IN

Other

Enumeration date
10/03/2011
Last updated
01/23/2020
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