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1477150316
SPENCER SONNTAG BLACKHAM
PARK CITY, UT
NPI
1477150316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: UT 7894995-9921)
Enumeration Date
2020-10-05
Last Update Date
2022-06-14
Business Address
Dr. SPENCER SONNTAG BLACKHAM DMD, MS
4585 SILVER SPRINGS DR
PARK CITY, UT 84098-5913
Phone number: 435-649-0099
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Mailing Address
Dr. SPENCER SONNTAG BLACKHAM DMD, MS
3097 E HIGH DANISH RD
SANDY, UT 84093-5510
Phone number: 847-907-1989
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