Organization
LYDIAN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELYN D BUCKHANAN (INSURANCE COORDINATOR)
(480) 899-7996
Entity
Organization
Contact information
Practice address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 899-7996
(480) 752-3231
Mailing address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 899-7996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6107
AZ
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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