Cornejo, Lydia Maria

Cornejo, Lydia Maria is an sole proprietor health care provider with primary practice located at 7676 N Canton Center Rd , Canton MI 48187-1500. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Cornejo, Lydia Maria can be contacted via phone (734) 354-9500.

Contact Information

Primary practice address
7676 N Canton Center Rd Canton MI 48187-1500
Phone: (734) 354-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901022102 Michigan
Dental Providers / General Practice 1223G0001X 2901022102 Michigan

Profile Details

NPI number 1417499864
LBN Legal business name Cornejo, Lydia Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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