Organization
TRIMARK DENTAL CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ANN LYONS D.D.S. (DENTIST/PARTNER)
(608) 752-7452
Entity
Organization
Contact information
Practice address
2130 KENNEDY RD, JANESVILLE, WI 53545-0887
(608) 752-7452
(608) 752-4918
Mailing address
2130 KENNEDY RD, JANESVILLE, WI 53545-0887
(608) 752-7452
(608) 752-4918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0004660
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33369200
—
WI
05
—
33752400
—
WI
05
—
33788200
—
WI
Enumeration date
12/27/2009
Last updated
12/27/2009
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