Byron P Sansom a Dental Corporation
NPI #1558374132 in Mammoth Lakes, California
Provider Information
- NPI Number
- 1558374132
- Entity Type
- Organization
- Organization Name
- Byron P Sansom a Dental Corporation
- Primary Specialty
- General Acute Care Hospital - Rural
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Nov 5, 2013
Practice Location
- Address
- 452 OLD MAMMOTH RD.
- Address 2
- SUITE L
- City
- Mammoth Lakes
- State
- California
- ZIP Code
- 93546
- Phone
- (760) 934-3730
Authorized Official
- Name
- DR. BYRON PAUL SANSOM, D.D.S.
- Title
- OWNER/DENTIST
- Phone
- (760) 934-3730
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Rural — Rural |
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