Clyde Knoblauch, DDS Valid NPI
Individual provider · General Practice Dentistry · Thousand Oaks, CA
- NPI
- 1497820930
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 46400 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-21
- Last updated
- 2007-07-08
Practice location
415 Rolling Oaks Dr, #215
Thousand Oaks, CA 91361-1029
(805) 496-2456