MARK H BLAISDELL

BOUNTIFUL, UT
NPI1164432084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  140507-9922)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
Dr. MARK H BLAISDELL D.D.S.
625 E 500 S STE 203
BOUNTIFUL, UT 84010-3884
Phone number: 801-292-6819
Mailing Address
Dr. MARK H BLAISDELL D.D.S.
625 E 500 S STE 203
BOUNTIFUL, UT 84010-3884
Phone number: