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DR. MARY ELLEN LYON DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1083788863

Individual Registrant:
DR. MARY ELLEN  LYON DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
7248 SOUTH LAND PARK DRIVE SUITE 208  SACARMENTO, CA 95831-3662 US
Tel: 916-429-7437  Fax: 916-429-7439

Contact information for business:
7248 SOUTH LAND PARK DRIVE SUITE 208  SACARMENTO, CA 95831-3662 US
Tel: 916-429-7437  Fax: 916-429-7439

Registration Information:
NPI: 1083788863
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA37696

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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