Creek Capitol Orthodontics- Hunter Park
NPI #1093206450 in West Valley, Utah
Provider Information
- NPI Number
- 1093206450
- Entity Type
- Organization
- Organization Name
- Creek Capitol Orthodontics- Hunter Park
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- May 22, 2018
- Last Updated
- May 22, 2018
Practice Location
- Address
- 2792 S 5600 W
- City
- West Valley
- State
- Utah
- ZIP Code
- 84120-5590
- Phone
- (801) 969-9669
Authorized Official
- Name
- MARCI NICOL
- Title
- COO
- Phone
- (801) 918-4135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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