Organization
HENRY D LYON DDS PC
Active
Other names
Emergency Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LYON DDS (PRESIDENT)
(269) 428-2222
Entity
Organization
Contact information
Practice address
2454 W GLENLORD RD, STEVENSVILLE, MI 49127-9557
(269) 428-2222
Mailing address
2454 W GLENLORD RD, STEVENSVILLE, MI 49127-9557
(269) 428-2222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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