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Individual
IKETRIA BYRD
Active
Individual
IKETRIA BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25769
FL
122300000X
Dentist
32797
TX
122300000X
Dentist
Primary
7471
LA
1223G0001X
General Practice Dentistry
D-0006885-C1
AL
Other
Enumeration date
04/26/2017
Last updated
07/10/2023
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