# LONNIE W. TINER, DDS, APC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hi-Desert Oral & Maxillofacial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265636112
- **Authorized official:** DR. LONNIE W TINER DDS (PRESIDENT OWNER)
- **Authorized official phone:** (760) 365-0658

## Contact information

- **Practice address:** 56669 29 PALMS HWY, SUITE A, YUCCA VALLEY, CA 92284-5219
- **Practice address phone:** (760) 365-0658
- **Practice address fax:** (760) 365-5308
- **Mailing address:** 56669 29 PALMS HWY, SUITE A, YUCCA VALLEY, CA 92284-5219
- **Mailing address phone:** (760) 365-0658
- **Mailing address fax:** (760) 365-5308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 07/24/2007