Organization
DINO FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BLACKHAM DDS (OWNER)
(435) 789-7711
Entity
Organization
Contact information
Practice address
333 W 350 S, VERNAL, UT 84078-3005
(435) 789-7711
Mailing address
333 WEST 350 SOUTH, VERNAL, UT 84078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
296101-9922
UT
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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