Individual
DR. BLAKE ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2674 S 1800 E, SALT LAKE CITY, UT 84106-4016
(801) 822-9756
Mailing address
2674 S 1800 E, SALT LAKE CITY, UT 84106-4016
(801) 822-9756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7002323-9922
UT
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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