Blake David Mcdonald

NPI #1013479492 in Riverton, Utah

Provider Information

NPI Number
1013479492
Entity Type
Individual
Name
Blake David Mcdonald
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 3, 2019
Last Updated
Feb 8, 2024

Practice Location

Address
4651 W 13400 S STE 110
State
Utah
ZIP Code
84096-6483
Phone
(801) 515-5858

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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