Organization
ACCENT SMILES DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON T BLACKWOOD DDS (OWNER)
(801) 274-2351
Entity
Organization
Contact information
Practice address
5738 S 1475 E, SUITE 100, SOUTH OGDEN, UT 84403-4858
(801) 392-1500
(801) 475-6558
Mailing address
5738 S 1475 E, SUITE 100, SOUTH OGDEN, UT 84403-4858
(801) 392-1500
(801) 475-6558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5936346
UT
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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