RONALD J BLACKHURST

MIDVALE, UT
NPI1528108784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  136235)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- RONALD J BLACKHURST DDS
7001 S 900 E STE 450
MIDVALE, UT 84047-6016
Phone number: 801-561-5212
Mailing Address
-- RONALD J BLACKHURST DDS
7001 S 900 E STE 450
MIDVALE, UT 84047-6016
Phone number: 801-561-5212
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