Individual
MATTHEW RYAN BYARLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6350
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7875
BC/BS
NE
Enumeration date
10/17/2006
Last updated
01/25/2008
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