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Individual

GREGORY ALAN BLYTHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
US ARMY DENTAL ACTIVITY HAWAII, 1 JARRETT WHITE ROAD, ATTN MCDS-NH, TRIPLER AMC, HI 96859-5000
(808) 433-1021
(808) 433-3928
Mailing address
US ARMY DENTAL ACTIVITY HAWAII, 1 JARRETT WHITE ROAD, ATTN MCDS-NH, TRIPLER AMC, HI 96859-5000
(808) 433-1021
(808) 433-3928

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30017629
OH

Other

Enumeration date
11/09/2005
Last updated
08/12/2013
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