Lyon Family Dental | |
252 Commerce St Eddyville KY 42038-8294 | |
(270) 601-4122 | |
Not Available |
Full Name | Lyon Family Dental |
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Speciality | Clinic/center - Dental |
Location | 252 Commerce St, Eddyville, Kentucky |
Authorized Official Name and Position | Dominique Rivera (OWNER) |
Authorized Official Contact | 2706252778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lyon Family Dental 252 Commerce St Eddyville KY 42038-8294 Ph: (270) 601-4122 | Lyon Family Dental 252 Commerce St Eddyville KY 42038-8294 Ph: (270) 601-4122 |
NPI Number | 1841816824 |
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Provider Enumeration Date | 06/24/2020 |
Last Update Date | 06/24/2020 |
Identifier | Type | State | Issuer |
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1841816824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |