Individual
MR. S MICHAEL LODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1267 RUSSELL PKWY, WARNER ROBINS, GA 31088-5582
(478) 923-0253
(478) 923-6906
Mailing address
1267 RUSSELL PKWY, WARNER ROBINS, GA 31088-5582
(478) 923-0253
(478) 923-6906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012220
GA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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