Individual
BYRON JUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2387 US HIGHWY 86, IMPERIAL, CA 92251
(760) 353-5100
(760) 353-0576
Mailing address
2387 US HIGHWY 86, IMPERIAL, CA 92251
(760) 353-5100
(760) 353-0576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19752
CA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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