| NPI | 1679089239 |
|---|---|
| Doing Business As | DR. BLAINE D. AUSTIN DDS |
| Entity Type | Organization |
| Authorized Contact | BLAINE D AUSTIN Oral Maxillo Facial Surgery 801-759-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 140958) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-01-08 |