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Individual

DR. DENNIS R BALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

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
152WC0802X
Corneal and Contact Management Optometrist
5812T
CA

Other

Enumeration date
02/17/2006
Last updated
09/28/2011
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