BLAKE DAVID MCDONALD

RIVERTON, UT
NPI1013479492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: UT  11622565-9921)
Enumeration Date2019-04-03
Last Update Date2024-02-08
Business Address
BLAKE DAVID MCDONALD
4651 W 13400 S STE 110
RIVERTON, UT 84096-6483
Phone number: 801-515-5858
Mailing Address
BLAKE DAVID MCDONALD
11039 S RYAN PARK AVE
SANDY, UT 84092-5205
Phone number: 425-941-0314
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