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Individual

DR. JOHN RYAN BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2230 N UNIVERSITY PKWY, PROVO, UT 84604-1509
(801) 836-8366
Mailing address
2230 N UNIVERSITY PKWY, PROVO, UT 84604-1509
(801) 836-8366

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8660056-9923
UT

Other

Enumeration date
05/16/2013
Last updated
05/16/2013
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