| NPI | 1992087365 |
|---|---|
| Former Name | STEPHANIE ANN BYARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14542) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS038360) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2015-02-02 |