Individual
DR. BOBBY GENE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
130 EL CAMINO REAL, #100, TUSTIN, CA 92780-3659
(714) 573-1111
Mailing address
130 EL CAMINO REAL, #100, TUSTIN, CA 92780-3659
(714) 573-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B1473301
—
CA
Enumeration date
12/04/2006
Last updated
07/09/2007
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