| NPI | 1912272295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON BYRD Dentist 240-379-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 5893) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 4508) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |