Willow Creek Dental

NPI #1285819771 in Sandy, Utah

Provider Information

NPI Number: 1285819771
Entity Type: Organization
Organization Name: Willow Creek Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 3, 2008
Last Updated: Jan 3, 2008

Practice Location

Address: 8757 HIGHLAND DR
City: Sandy
State: Utah
ZIP Code: 84093-1698
Phone: (801) 947-0505

Authorized Official

Name: KELLY ANN CUTLER
Title: PRESIDENT
Phone: (801) 947-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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