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NPI Code Detail

MEDICARE: STEVEN J BYERS DDS

MEDICARE:   STEVEN J BYERS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist29136CA

General Provider Information

NPI Number : 1750459806
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN J BYERS DDS
Provider Business Mailing Address
First Line : 4403 MARLBOROUGH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-4727
Country : US
Telephone Number : 619-282-7060
Fax Number : 619-282-1440
Provider Business Practice Location Address
First Line : 4403 MARLBOROUGH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-4727
Country : US
Telephone Number : 619-282-7060
Fax Number : 619-282-1440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/08/2007

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Directions to “ STEVEN J BYERS DDS” Practice Location

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