NPI | 1093374456 |
---|---|
Doing Business As | BLATCHLEY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | RYAN TAYLOR BLATCHLEY President 619-508-4935 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-06-10 |
Last Update Date | 2019-06-10 |