BLACKSTONE DENTAL PLLC
Dentist at Blackstone Rd, Salt Lake City, UT

License number
Utah 7386388-9922
Category
Dentist
Type
Dentist
Owner
Name: DR. BRIAN BLACK
Title: OWNER
Phone: (801) 278-0458
Address
Address
6710 S Blackstone Rd, Salt Lake City, UT 84121
National Provider ID: 1700209699
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLACKSTONE DENTAL PLLC at bizstanding.com

BLACKSTONE DENTAL, P.L.L.C

6710 Blackstone Rd STE 101, Salt Lake City, UT 84121

Status:
Inactive
Industry:
Dentist's Office, Dentists
Doing business as:
Blackstone Dental
Registration:
Aug 4, 2011
Phone:
(801) 278-0458 (Phone)
State ID:
8067413-0111
Business type:
Business Name Reservation
Family And General Dentistry, Partners:
William Pertti Sundberg (Family And General Dentistry),Tina Cochran,Jerry B. Black Family And General Dentistry, Partner, inactive
Agent:
Flp Brecken Group,3392 Trentino Dr, Riverton, UT 84065 (Physical)

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