Organization
UNIVERSITY CALIFORNIA DAVIS MEDICAL CENTER, UNIVERSITY DENTAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LYONS DDS (DIRECTOR DENTAL CLINIC)
(916) 734-5408
Entity
Organization
Contact information
Practice address
2521 STOCKTON BLVD, SACRAMENTO, CA 95817-2207
(916) 734-5408
(916) 734-1299
Mailing address
2521 STOCKTON BLVD, SACRAMENTO, CA 95817-2207
(916) 734-5408
(916) 734-1299
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
23361
CA
Other
Enumeration date
07/05/2005
Last updated
08/22/2020
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