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1447350020
CLINTON T BLACKWOOD
SALT LAKE CITY, UT
NPI
1447350020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 5936346-9922)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
Dr. CLINTON T BLACKWOOD D.D.S.
715 E 3900 S SUITE 104
SALT LAKE CITY, UT 84107-2182
Phone number: 801-266-7737
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Mailing Address
Dr. CLINTON T BLACKWOOD D.D.S.
715 E 3900 S SUITE 104
SALT LAKE CITY, UT 84107-2182
Phone number: 801-266-7737
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