NPI | 1487275574 |
---|---|
Professional Name | ALI BYRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401417875) |
Additional Taxonomies | 122300000X Dentist (Licence: MA DN1858945) |
Enumeration Date | 2020-04-30 |
Last Update Date | 2023-12-04 |