Blake Dental P.c.
NPI #1427364801 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1427364801
- Entity Type
- Organization
- Organization Name
- Blake Dental P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Aug 24, 2010
Practice Location
- Address
- 198 S MAIN ST
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-2631
- Phone
- (801) 785-8308
Authorized Official
- Name
- DR. HEATH J BLAKE, DDS
- Title
- PRESIDENT
- Phone
- (801) 785-8308
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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