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1184039505
BLAKE ISAACSON
SALT LAKE CITY, UT
NPI
1184039505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 7002323-9922)
Enumeration Date
2014-06-24
Last Update Date
2014-06-24
Business Address
Dr. BLAKE ISAACSON DDS
2674 S 1800 E
SALT LAKE CITY, UT 84106-4016
Phone number: 801-822-9756
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Mailing Address
Dr. BLAKE ISAACSON DDS
2674 S 1800 E
SALT LAKE CITY, UT 84106-4016
Phone number: 801-822-9756
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