Individual
DR. ANDREA JEAN BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5139
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27879
TX
122300000X
Dentist
5937
OK
Other
Enumeration date
07/12/2007
Last updated
02/09/2016
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