Dental Board of California
Licensing details for: 10279
Name: LYONS ORTHODONTICS, DENTAL PRACTICE
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: LYONS, TIMOTHY JAMES
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: LYONS, TIMOTHY JAMES
License/Registration Type: Dentist License
License Number: 51968 Primary Status: Current - Active
Address :
4420 Town Center Blvd
Suite 200
EL DORADO HILLS CA 95762
EL DORADO COUNTY
