Individual
GARRY DEWAYNE BOYD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
127 W 6TH AVE, LANCASTER, OH 43130-2550
(740) 687-4484
Mailing address
127 W 6TH AVE, LANCASTER, OH 43130-2550
(740) 687-4484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30 015731
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365199
—
OH
Enumeration date
05/23/2006
Last updated
07/09/2007
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