| Blatchley Dental Corporation | |
|
426 Barcellus Ave Ste 105 Santa Maria CA 93454-6926 | |
| (805) 347-4785 | |
| (805) 347-4787 |
| Full Name | Blatchley Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 426 Barcellus Ave Ste 105, Santa Maria, California |
| Authorized Official Name and Position | Ryan Taylor Blatchley (PRESIDENT) |
| Authorized Official Contact | 6195084935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blatchley Dental Corporation 426 Barcellus Ave Ste 105 Santa Maria CA 93454-6926 Ph: (805) 347-4785 | Blatchley Dental Corporation 426 Barcellus Ave Ste 105 Santa Maria CA 93454-6926 Ph: (805) 347-4785 |
| NPI Number | 1093374456 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093374456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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