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Individual

DR. JAMES SPENCER BYAS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
645 AERICK ST, STE #4, INGLEWOOD, CA 90301
(310) 674-2692
(310) 674-2232
Mailing address
645 AERICK ST, STE #4, INGLEWOOD, CA 90301
(310) 674-2692
(310) 674-2232

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25679
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B2567901
MEDI-CAL
Enumeration date
07/26/2006
Last updated
07/08/2007
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