Individual
DR. LEONARD MICHAEL TYKO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1174 MONTGOMERY DR, SANTA ROSA, CA 95405-4818
(707) 545-4625
Mailing address
1174 MONTGOMERY DR, SANTA ROSA, CA 95405-4818
(707) 545-4625
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS031
CA
208D00000X
General Practice Physician
Primary
A71195
CA
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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