BYRON P SANSOM A DENTAL CORPORATION is a rural general acute care hospital in Mammoth Lakes, CA. BYRON P SANSOM A DENTAL CORPORATION NPI is 1558374132. The provider is registered as an organization entity type.
The provider's business location address is:
452 OLD MAMMOTH RD.
SUITE L
MAMMOTH LAKES, CA
ZIP 93546
Phone: (760) 934-3730
Fax: (760) 934-3732
The provider's authorized official is Byron Paul Sansom .
The authorized official title is Owner/dentist and has the following contact phone number (760) 934-3730.
The enumeration date for this NPI number is 8/14/2006 and was last updated on 11/5/2013.