Dental Board of California
Licensing details for: 10480
Name: SURFSIDE KIDS DENTAL GROUP, LYONS & RAWLINS DDS INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: PRYDE CHILDREN'S DENTAL GROUP ❖ PRYDE CHILDREN'S DENTAL GROUP, INC.
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
