Creek Capital Stansbury Park LLC
NPI #1407374341 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1407374341
- Entity Type
- Organization
- Organization Name
- Creek Capital Stansbury Park LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Aug 30, 2017
Practice Location
- Address
- 220 MILLPOND STE 107
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-9760
- Phone
- (435) 843-5437
Authorized Official
- Name
- MARCI NICOL
- Title
- COO
- Phone
- (801) 312-7122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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