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NPI Code Detail

MEDICARE: DR. LYNDA ILENE BARD DMD

MEDICARE: DR. LYNDA ILENE BARD DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS031548LPA

General Provider Information

NPI Number : 1053339523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNDA ILENE BARD DMD
Provider Business Mailing Address
First Line : 2 FRANKLIN TOWN BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-1238
Country : US
Telephone Number : 267-519-9694
Fax Number : 888-416-2794
Provider Business Practice Location Address
First Line : 2 FRANKLIN TOWN BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-1238
Country : US
Telephone Number : 267-519-9694
Fax Number : 888-416-2794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 04/18/2012

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