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1376975458
BENJAMIN LUKE BYRD
KELLOGG, ID
NPI
1376975458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4696)
Enumeration Date
2013-07-31
Last Update Date
2015-10-14
Business Address
Dr. BENJAMIN LUKE BYRD DDS
302 E CAMERON AVE
KELLOGG, ID 83837-2333
Phone number: 208-786-7031
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Mailing Address
Dr. BENJAMIN LUKE BYRD DDS
302 E CAMERON AVE
KELLOGG, ID 83837-2333
Phone number: 208-786-7031
Copy
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