Tyko, Leonard Michael

Tyko, Leonard Michael is an sole proprietor health care provider with primary practice located at 1174 Montgomery Dr , Santa Rosa CA 95405-4818. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / General Practice. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Tyko, Leonard Michael can be contacted via phone (707) 545-4625.

Contact Information

Primary practice address
1174 Montgomery Dr Santa Rosa CA 95405-4818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X OMS031 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A71195 California

Profile Details

NPI number 1770626921
LBN Legal business name Tyko, Leonard Michael
Credentials DDS, MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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