DR. BLAKE BROG, D.M.D.
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1871624403
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 142188-9921 (UT) |
Frequently Asked Questions
NPI 1871624403 is the National Provider Identifier for DR. BLAKE BROG, D.M.D., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Bountiful, UT. This NPI was enumerated on March 7, 2007.
DR. BLAKE BROG, D.M.D. practices at 469 MEDICAL DR, Bountiful, UT 84010.
Quick Facts
- NPI
- 1871624403
- Type
- Individual
- Enumerated
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
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