Creek Capital East Gate LLC

NPI #1417475344 in Slc, Utah

Provider Information

NPI Number
1417475344
Entity Type
Organization
Organization Name
Creek Capital East Gate LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Aug 30, 2017
Last Updated
Aug 30, 2017

Practice Location

Address
1580 E 3900 S STE 110
City
Slc
State
Utah
ZIP Code
84124-1510
Phone
(801) 272-8555

Authorized Official

Name
MARCI NICOL
Title
COO
Phone
(801) 312-7122

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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