| NPI | 1669672838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JACK BLYTHE President 805-687-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 16470) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |