SearchMichigan1223X0400X

Andrew Lidral, DDS PHD

NPI 1306940317 · on the registry since 2006

Practice

Address
158 Marcell Dr Ne
Rockford, MI 49341
Phone
(616) 866-8010
Fax
(616) 866-7401
Organisation at this address
Palm & Panek Dds Pc
Heinz Orthodontics Pllc
Mark P. Brieden D.D.S., M.S., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
Licence states on file
IA, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan