| T Lyons & J Rawlins Dds Inc | |
|
7806 Madison Ave Ste 200 Fair Oaks CA 95628-3593 | |
| (916) 442-7873 | |
| Not Available |
| Full Name | T Lyons & J Rawlins Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7806 Madison Ave Ste 200, Fair Oaks, California |
| Authorized Official Name and Position | Jen Saso (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9164793432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T Lyons & J Rawlins Dds Inc 5010 Laguna Blvd # 100 Elk Grove CA 95758-4197 Ph: (916) 442-7873 | T Lyons & J Rawlins Dds Inc 7806 Madison Ave Ste 200 Fair Oaks CA 95628-3593 Ph: (916) 442-7873 |
| NPI Number | 1720628985 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720628985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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