# LYON ENDODONTICS, PLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306578018
- **Authorized official:** DR. EDGARDO ZUNIGA DDS. MS (ENDODONTIST)
- **Authorized official phone:** (201) 952-6361

## Contact information

- **Practice address:** 112 E LAKE ST, SOUTH LYON, MI 48178
- **Practice address phone:** (248) 617-3747
- **Practice address fax:** (248) 617-3748
- **Mailing address:** 112 E LAKE ST, SOUTH LYON, MI 48178
- **Mailing address phone:** (248) 617-3747
- **Mailing address fax:** (248) 617-3748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022