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Blake Dental P.c.
Dental Clinic/Center in Pleasant Grove, Utah
NPI 1427364801

Blake Dental P.c. is a Dental Clinic/Center based in Pleasant Grove, UT and is specialized in Dental. Blake Dental P.c. practices in Pleasant Grove, UT. The NPI Number for Blake Dental P.c. is 1427364801 and holds a License No. 59590689921 (Utah).

The current practice location address for Blake Dental P.c. is 198 S Main St, Pleasant Grove, UT and can be reached out via phone at 801-785-8308.

Location: 198 S Main St, Pleasant Grove, UT, 84062-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427364801
Provider Name
Blake Dental P.c.
Credential
Provider Entity Type
Organization
Address
198 S Main St, Pleasant Grove, UT, 84062-2631
Phone Number
801-785-8308
Fax Number
Provider Enumeration Date
08/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
198 S Main St
City
Pleasant Grove
State
Utah
Zip
84062-2631
Phone Number
801-785-8308
Fax Number
person
Provider Business Mailing Address Details
Address
198 S Main St
City
Pleasant Grove
State
Utah
Zip
84062-2631
Phone Number
801-785-8308
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
59590689921 (Utah)
Definition
Definition to come...
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