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1700209699
BLACKSTONE DENTAL PLLC
SALT LAKE CITY, UT
NPI
1700209699
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Entity Type
Organization
Authorized Contact
BRIAN BLACK
Owner
801-278-0458
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 7386388-9922)
Enumeration Date
2014-01-28
Last Update Date
2014-01-28
Business Address
BLACKSTONE DENTAL PLLC
6710 S BLACKSTONE RD
SALT LAKE CITY, UT 84121-6072
Phone number: 801-278-0458
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Mailing Address
BLACKSTONE DENTAL PLLC
6710 S BLACKSTONE RD
SALT LAKE CITY, UT 84121-6072
Phone number: 801-278-0458
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