Organization
LYONS & RAWLINS DDS INC
Active
Other names
Surfside Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LYONS DDS (PRESIDENT)
(916) 442-7873
Entity
Organization
Contact information
Practice address
5010 LAGUNA BLVD, ELK GROVE, CA 95758-4148
(916) 442-7873
Mailing address
PO BOX 4785, EL DORADO HILLS, CA 95762-0024
(916) 229-9941
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/01/2013
Last updated
02/08/2016
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