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Individual

BLAKE S CAMERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
170 E 1400 N, LOGAN, UT 84341-2379
(435) 753-4400
(435) 787-1741
Mailing address
170 E 1400 N, LOGAN, UT 84341-2379
(435) 753-5166
(435) 787-1741

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
83537019922
UT

Other

Enumeration date
06/18/2012
Last updated
03/03/2021
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