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Individual

LEE BYERLY

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
7770 COOPER RD, 11, CINCINNATI, OH 45242-7744
(513) 791-1794
Mailing address
8534 KELSO DR, MAINEVILLE, OH 45039-8837

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30017633
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0566061
OH
Enumeration date
04/21/2006
Last updated
07/08/2007
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