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Individual

DR. MATTHEW BLAKE HILLSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3105 W 5400 S, TAYLORSVILLE, UT 84129-2200
(801) 969-6236
(801) 966-4572
Mailing address
3105 W 5400 S, TAYLORSVILLE, UT 84129-2200
(801) 969-6236

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9015161-9922
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
059339
UT
Enumeration date
07/07/2011
Last updated
06/27/2019
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