HEATH J. BLAKE

PLEASANT GROVE, UT
NPI1841318516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223D0001X Dentist, Dental Public Health
(Licence: UT  5959068)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Dr. HEATH J. BLAKE D.D.S
198 S MAIN ST
PLEASANT GROVE, UT 84062-2631
Phone number: 801-785-8308
Mailing Address
Dr. HEATH J. BLAKE D.D.S
198 SOUTH MAIN STREET
PLEASANT GROVE, UT 84062
Phone number: 801-785-8308
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