Organization
DESERT VALLEY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WALDEN BYBEE DDS (DENTIST)
(208) 478-1295
Entity
Organization
Contact information
Practice address
716 YELLOWSTONE AVE, POCATELLO, ID 83201-4407
(208) 478-1295
(208) 232-5490
Mailing address
716 YELLOWSTONE AVE, POCATELLO, ID 83201-4407
(208) 478-1295
(208) 232-5490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1664
ID
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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