Individual
DR. BLAINE SMITH BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
218 N CENTER ST, AMERICAN FORK, UT 84003-1630
(801) 756-9310
(801) 763-8600
Mailing address
218 N CENTER ST, AMERICAN FORK, UT 84003-1630
(801) 756-9310
(801) 763-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
135578
UT
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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