Organization
T LYONS & J RAWLINS DDS INC
Active
Other names
Surfside Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEN SASO (DIRECTOR OF OPERATIONS)
(916) 479-3432
Entity
Organization
Contact information
Practice address
7806 MADISON AVE STE 200, FAIR OAKS, CA 95628-3593
(916) 442-7873
Mailing address
5010 LAGUNA BLVD # 100, ELK GROVE, CA 95758-4197
(916) 442-7873
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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