DR. MARK BLAISDELL, D.D.S.

Dentist - General Practice

Active Individual
NPI: 1164432084

Practice Address

625 E 500 S STE 203
Bountiful, UT 84010

Phone: (801) 292-6819

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 140507-9922 (UT)

Frequently Asked Questions

NPI 1164432084 is the National Provider Identifier for DR. MARK BLAISDELL, D.D.S., a Dentist - General Practice provider located in Bountiful, UT. This NPI was enumerated on August 9, 2006.
DR. MARK BLAISDELL, D.D.S. practices at 625 E 500 S STE 203, Bountiful, UT 84010.

Quick Facts

NPI
1164432084
Type
Individual
Enumerated
Aug 9, 2006
Last Updated
Jul 8, 2007

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