CRAIG BLACKHAM

FORT DUCHESNE, UT
NPI1881724417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  296101-9922)
Enumeration Date2007-03-06
Last Update Date2022-07-21
Business Address
-- CRAIG BLACKHAM DDS
6822 EAST 1000 SOUTH
FORT DUCHESNE, UT 84026
Phone number: 435-725-6874
Mailing Address
-- CRAIG BLACKHAM DDS
333 W 350 S
VERNAL, UT 84078
Phone number: 435-789-7711
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