DR. Byron Paul Sansom, D.D.S.

NPI #1962732248 in Lapwai, Idaho

Provider Information

NPI Number: 1962732248
Entity Type: Individual
Name: DR. Byron Paul Sansom, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 8, 2010
Last Updated: Jan 2, 2020

Practice Location

Address: 111 BEVER GRADE ROAD
City: Lapwai
State: Idaho
ZIP Code: 83540-0367
Phone: (208) 843-2271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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