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General NPI Number Information
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NPI Number | 1720094493
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Entity Type | Organization
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Legal Business Name | ROBERT K BYERS JR DDS INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 505 SOUTH DRIVE SUITE 4
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 650-965-2222
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Fax | 650-965-3274
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Provider Business Mailing Address
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Address Line | 505 SOUTH DRIVE SUITE 4
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040
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Country | US
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Telephone | 650-965-2222
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Fax | 650-965-3274
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT K BYERS JR.
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Credential | DDS
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Telephone | 650-965-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 24437
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License Number State | CA
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