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Individual

BOYD KENT BLADEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1662 WEST 9000 SOUTH, SUITE A, WEST JORDAN, UT 84088
(801) 255-6581
(801) 562-5395
Mailing address
1662 WEST 9000 SOUTH, SUITE A, WEST JORDAN, UT 84088
(801) 255-6581
(801) 562-5395

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
140554
UT

Other

Enumeration date
04/13/2006
Last updated
07/08/2007
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