R. BLAKE NIELSEN

SALT LAKE CITY, UT
NPI1619030095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: UT  90-0144898-9922)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
Dr. R. BLAKE NIELSEN D.M.D
1434 E 4500 S SUITE #201
SALT LAKE CITY, UT 84117-4250
Phone number: 801-272-5800
Mailing Address
Dr. R. BLAKE NIELSEN D.M.D
1434 E 4500 S SUITE #201
SALT LAKE CITY, UT 84117-4250
Phone number: 801-272-5800
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