Provider Demographics
NPI:1538368121
Name:SUZUKI, LLOYD (DDS)
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:
Last Name:SUZUKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S PATTERSON AVE BLDG A
Mailing Address - Street 2:STE #212
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2055
Mailing Address - Country:US
Mailing Address - Phone:805-964-5858
Mailing Address - Fax:805-964-6756
Practice Address - Street 1:122 S PATTERSON AVE BLDG A
Practice Address - Street 2:STE #212
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2055
Practice Address - Country:US
Practice Address - Phone:805-964-5858
Practice Address - Fax:805-964-6756
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA488561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice