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Samuel Pyo, DDS Valid NPI

Individual provider · Prosthodontics · Ft Benning, GA

NPI
1346487139
Type
Individual (Type 1)
Primary specialty
Prosthodontics (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223P0700X
License number
57735 (CA)
Sex
Male
Sole proprietor
No
Enumerated
2009-01-15
Last updated
2014-07-11
Practice location
7101 Hoff Street, Usa Dentac
Ft Benning, GA 31905
(706) 544-4530

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