Creek Capitol Hunter Park

NPI #1386135747 in West Valley, Utah

Provider Information

NPI Number: 1386135747
Entity Type: Organization
Organization Name: Creek Capitol Hunter Park
Primary Specialty: Dentist
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	Taxonomy Code	Primary
Dentist	122300000X	Primary

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