Provider Demographics
NPI:1972963478
Name:BLAMIRES ARCH VENTURES, LLLP
Entity type:Organization
Organization Name:BLAMIRES ARCH VENTURES, LLLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-621-8440
Mailing Address - Street 1:1770 COMBE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-5013
Mailing Address - Country:US
Mailing Address - Phone:801-621-8440
Mailing Address - Fax:
Practice Address - Street 1:1770 COMBE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-5013
Practice Address - Country:US
Practice Address - Phone:801-621-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3616021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty