Individual
DR. FORREST E BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 MOTE DR, SUITE 1, COVINGTON, OH 45318-1234
(937) 473-2755
Mailing address
550 MOTE DR., SUITE 1, COVINGTON, OH 45318
(937) 473-2755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15728
OH
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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