Individual
DR. BLAINE DONALD AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5742 S 1475 E, SUITE 100, OGDEN, UT 84403
(801) 399-3701
(801) 399-3702
Mailing address
5742 S 1475 E, SUITE 100, OGDEN, UT 84403-4855
(801) 399-3701
(801) 399-3702
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
140958
UT
Other
Enumeration date
02/13/2006
Last updated
11/14/2011
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