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1164432084
MARK H BLAISDELL
BOUNTIFUL, UT
NPI
1164432084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 140507-9922)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
DR. MARK H BLAISDELL D.D.S.
625 E 500 S STE 203
BOUNTIFUL, UT 84010-3884
Phone number: 801-292-6819
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Mailing Address
DR. MARK H BLAISDELL D.D.S.
625 E 500 S STE 203
BOUNTIFUL, UT 84010-3884
Phone number:
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