Provider Demographics
NPI:1952785339
Name:RAWLINS & LYONS DDS INC
Entity type:Organization
Organization Name:RAWLINS & LYONS DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-229-9941
Mailing Address - Street 1:PO BOX 4785
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-0024
Mailing Address - Country:US
Mailing Address - Phone:925-689-5800
Mailing Address - Fax:925-689-5887
Practice Address - Street 1:675 CONTRA COSTA BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1514
Practice Address - Country:US
Practice Address - Phone:925-689-5800
Practice Address - Fax:925-689-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty