Individual
DR. RICHARD L BLACKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
754 S STATE ST, SALT LAKE CITY, UT 84111-3822
(801) 321-4000
(801) 355-9007
Mailing address
754 S STATE ST, SALT LAKE CITY, UT 84111-3822
(801) 321-4000
(801) 355-9007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
142685
UT
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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