Byrd Dentistry, Pllc

NPI #1790155430 in Kellogg, Idaho

Provider Information

NPI Number: 1790155430
Entity Type: Organization
Organization Name: Byrd Dentistry, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2015
Last Updated: Oct 6, 2015

Practice Location

Address: 302 E CAMERON AVE
City: Kellogg
State: Idaho
ZIP Code: 83837-2333
Phone: (208) 786-7031

Authorized Official

Name: BENJAMIN LUKE BYRD, D.D.S.
Title: OWNER
Phone: (208) 786-7031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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