R Blake Nielsen, DMD, Dentist

1434 E 4500 S
Ste Ste 201
Salt Lake City, UT  84117-4250 (Salt Lake County)

Phone: 801-272-5800
Fax: 801-272-5897
Email: bmb***@*****il.com

NPI: 1619030095
License Number: 90-0144898-9922 (UT)