Blake Lynn Matthews, DDS

NPI #1477693802 in Provo, Utah

Provider Information

NPI Number
1477693802
Entity Type
Individual
Name
Blake Lynn Matthews, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3610 N UNIVERSITY AVE
Address 2
#200
City
Provo
State
Utah
ZIP Code
84604-4437
Phone
(801) 377-9600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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