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1184958159
MARK H. BLAISDELL DDS, PC
BOUNTIFUL, UT
NPI
1184958159
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Entity Type
Organization
Authorized Contact
MARK HARRIS BLAISDELL
President
801-292-6819
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 2009-37520)
Enumeration Date
2009-09-23
Last Update Date
2009-09-23
Business Address
MARK H. BLAISDELL DDS, PC
625 E 500 S SUITE 203
BOUNTIFUL, UT 84010-3882
Phone number: 801-292-6819
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Mailing Address
MARK H. BLAISDELL DDS, PC
625 E 500 S SUITE 203
BOUNTIFUL, UT 84010-3882
Phone number: 801-292-6819
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