Organization
MICHAEL A BLAMIRES DDS, INC
Active
Other names
Canyon Ridge Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLAN BLAMIRES D.D.S. (PRESIDENT)
(801) 710-3536
Entity
Organization
Contact information
Practice address
1770 COMBE RD STE 3, OGDEN, UT 84403-5067
(801) 621-8440
(801) 627-9063
Mailing address
1770 COMBE RD STE 3, OGDEN, UT 84403-5067
(801) 621-8440
(801) 627-9063
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
361602-9922
UT
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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