Individual
DR. DAVID R BLACKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
565 E STATE RD, AMERICAN FORK, UT 84003-2148
(801) 756-7211
Mailing address
565 E STATE RD, AMERICAN FORK, UT 84003-2148
(801) 756-7211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6288637-9921
UT
Other
Enumeration date
04/06/2007
Last updated
01/02/2020
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