Timothy Lyons

NPI 1710279419 · on the registry since 2011 · sole proprietor

Practice

Address: 4420 Town Center Blvd
Suite 200
El Dorado Hills, CA 95762
Phone: (916) 933-8820
Organisation at this address: Clark Dental A Professional Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California