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1285990978
SAMUEL BLACKHAM BAILEY
TAYLORSVILLE, UT
NPI
1285990978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 7693653-9922)
Enumeration Date
2012-04-06
Last Update Date
2023-05-16
Business Address
Dr. SAMUEL BLACKHAM BAILEY DMD
2964 W 4700 S STE 103
TAYLORSVILLE, UT 84129-2558
Phone number: 801-417-8080
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Mailing Address
Dr. SAMUEL BLACKHAM BAILEY DMD
31 LAKE RIDGE DR
KAYSVILLE, UT 84037-9655
Phone number: 801-259-6988
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