MICHAEL BLACKHURST

SALT LAKE CITY, UT
NPI1265883474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  9836551-9922)
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
Dr. MICHAEL BLACKHURST
1963 S 1200 E STE 103
SALT LAKE CITY, UT 84105-3523
Phone number: 801-466-1212
Mailing Address
Dr. MICHAEL BLACKHURST
1963 S 1200 E STE 103
SALT LAKE CITY, UT 84105-3523
Phone number: 801-466-1212
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