Individual
BARRY MAYRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11400 PALM DR, DESERT HOT SPRINGS, CA 92240-3167
(760) 329-2227
Mailing address
11400 PALM DR, DESERT HOT SPRINGS, CA 92240-3167
(760) 329-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29625
CA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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