Ronald J Blackhurst, DDS

NPI #1528108784 in Midvale, Utah

Provider Information

NPI Number: 1528108784
Entity Type: Individual
Name: Ronald J Blackhurst, 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: 7001 S 900 E STE 450
City: Midvale
State: Utah
ZIP Code: 84047-6016
Phone: (801) 561-5212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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