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Dr. Leonard Michael Tyko II, DDS,MD
General Practice Physician in Santa Rosa, California
NPI 1770626921

Leonard Michael Tyko II is a General Practice Physician based in Santa Rosa, CA. Leonard Michael Tyko II practices in Santa Rosa, CA and has the professional credentials of DDS,MD. The NPI Number for Leonard Michael Tyko II is 1770626921 and holds a License No. OMS031 (California).

The current practice location address for Leonard Michael Tyko II is 1174 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-545-4625.

Location: 1174 Montgomery Dr, Santa Rosa, CA, 95405-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770626921
Provider Name
Leonard Michael Tyko II
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
1174 Montgomery Dr, Santa Rosa, CA, 95405-4818
Phone Number
707-545-4625
Fax Number
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1174 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-4818
Phone Number
707-545-4625
Fax Number
person
Provider Business Mailing Address Details
Address
1174 Montgomery Dr
City
Santa Rosa
State
California
Zip
95405-4818
Phone Number
707-545-4625
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
A71195 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OMS031 (California)
Definition
Definition to come...
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