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Organization

JAMES S. BYAS, JR., D.D.S. M.S. A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES SPENCER BYAS JR. D.D.S. (DIRECTOR)
(310) 608-2353
Entity
Organization

Contact information

Practice address
411 SOUTH LONG BEACH BLVD., COMPTON, CA 90221
(310) 608-2353
(310) 943-3384
Mailing address
411 SOUTH LONG BEACH BLVD., COMPTON, CA 90221
(310) 608-2353
(310) 943-3384

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
CA
Enumeration date
12/11/2006
Last updated
02/09/2015
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