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Organization
SANTA YNEZ VALLEY VISION SOURCE INC
Active
Organization
SANTA YNEZ VALLEY VISION SOURCE INC
Active
Other names
Santa Ynez Valley Vision Source Optometric Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS R. BALES O.D. (PRESIDENT)
(805) 688-0707
Entity
Organization
Contact information
Practice address
2040 VIBORG RD, SUITE 240, SOLVANG, CA 93463-2272
(805) 688-0707
(805) 693-9839
Mailing address
2040 VIBORG RD, SUITE 240, SOLVANG, CA 93463-2272
(805) 688-0707
(805) 693-9839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5812T
CA
Other
Enumeration date
02/06/2007
Last updated
04/02/2012
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