BLAKE LYNN MATTHEWS

PROVO, UT
NPI1477693802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  222754989922)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- BLAKE LYNN MATTHEWS DDS
3610 N UNIVERSITY AVE #200
PROVO, UT 84604-4437
Phone number: 801-377-9600
Mailing Address
-- BLAKE LYNN MATTHEWS DDS
3540 NORTH 465 WEST
PROVO, UT 84601
Phone number:
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