Individual
CHAD PERSHING LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2901 E BROADWAY BLVD, TUCSON, AZ 85716-5311
(520) 917-7516
Mailing address
2901 E BROADWAY BLVD, TUCSON, AZ 85716-5311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9663
AZ
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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