Heath J. Blake, D.D.S Valid NPI
Individual provider · Public Health Dentistry · Pleasant Grove, UT
- NPI
- 1841318516
- Type
- Individual (Type 1)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- 5959068 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-27
- Last updated
- 2007-07-08
Practice location
198 S Main St
Pleasant Grove, UT 84062-2631
(801) 785-8308