| Lyon Family Dental | |
|
252 Commerce St Eddyville KY 42038-8294 | |
| (270) 601-4122 | |
| Not Available |
| Full Name | Lyon Family Dental |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841816824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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