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1669446258
BLAINE DONALD AUSTIN
OGDEN, UT
NPI
1669446258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 140958)
Enumeration Date
2006-02-13
Last Update Date
2011-11-14
Business Address
Dr. BLAINE DONALD AUSTIN D.D.S
5742 S 1475 E SUITE 100
OGDEN, UT 84403
Phone number: 801-399-3701
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Mailing Address
Dr. BLAINE DONALD AUSTIN D.D.S
5742 S 1475 E SUITE 100
OGDEN, UT 84403-4855
Phone number: 801-399-3701
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