TREVOR LARRY BYBEE
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1932691987- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 716 YELLOWSTONE AVE, POCATELLO, ID, 832014407
- Phone
- (208) 478-1295
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D-4931