Isaacson, Blake

Isaacson, Blake is an individual health care provider with primary practice located at 2674 S 1800 E , Salt Lake City UT 84106-4016. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Isaacson, Blake can be contacted via phone (801) 822-9756.

Contact Information

Primary practice address
2674 S 1800 E Salt Lake City UT 84106-4016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7002323-9922 Utah

Profile Details

NPI number 1184039505
LBN Legal business name Isaacson, Blake
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jun 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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