| Blake Dental P.c. | |
|
198 S Main St Pleasant Grove UT 84062-2631 | |
| (801) 785-8308 | |
| Not Available |
| Full Name | Blake Dental P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 198 S Main St, Pleasant Grove, Utah |
| Authorized Official Name and Position | Heath J Blake (PRESIDENT) |
| Authorized Official Contact | 8017858308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Dental P.c. 198 S Main St Pleasant Grove UT 84062-2631 Ph: () - | Blake Dental P.c. 198 S Main St Pleasant Grove UT 84062-2631 Ph: (801) 785-8308 |
| NPI Number | 1427364801 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427364801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 59590689921 (Utah) | Primary |
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