Creek Capitol Lindon

NPI #1104317569 in Lindon, Utah

Provider Information

NPI Number: 1104317569
Entity Type: Organization
Organization Name: Creek Capitol Lindon
Primary Specialty: Dentist
Enumeration Date: May 22, 2018
Last Updated: May 22, 2018

Practice Location

Address: 275 W 200 N
City: Lindon
State: Utah
ZIP Code: 84042-5009
Phone: (801) 769-2530

Authorized Official

Name: MARCI NICOL
Title: COO
Phone: (801) 918-4135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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