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LUIS BAYARDO DDS
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1861732034
Individual Registrant: LUIS BAYARDO DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1201 S GARFIELD AVE ALHAMBRA, CA 91801-5037 US
Tel: 626-457-1702 Fax: 626-457-1792
Tel: 626-457-1702 Fax: 626-457-1792
Contact information for business:
1201 S GARFIELD AVE ALHAMBRA, CA 91801-5037 US
Tel: 626-457-1702 Fax: 626-457-1792
Tel: 626-457-1702 Fax: 626-457-1792
Registration Information:
NPI: 1861732034
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 49842 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
