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DR. HEATH J. BLAKE D.D.S

Dental Public Health

Pleasant Grove, Utah

Provider NPI: 1841318516

Provider Information:
DR. HEATH J. BLAKE D.D.S
Gender: M
Sole Proprietor


Practice Location:
198 S MAIN ST  PLEASANT GROVE, UT 84062 US
Tel: 801-785-8308  Fax: --

Business Mailing Address:
198 SOUTH MAIN STREET  PLEASANT GROVE, UT 84062 US
Tel: 801-785-8308  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223D0001XDental Providers
Dentist
Dental Public Health
UT5959068





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