Individual
STACEY S. BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-9304
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-9304
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HYG1000815
DC
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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