Individual
STEVEN T BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 SKYLINE DR, BRIGHAM CITY, UT 84302-3108
(435) 723-9200
(435) 723-6371
Mailing address
105 SKYLINE DR, BRIGHAM CITY, UT 84302-3108
(435) 723-9200
(435) 723-6371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7454741
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7454741
UT
Other
Enumeration date
12/01/2005
Last updated
01/22/2010
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