Creek Road Dental

NPI #1629329719 in Sandy, Utah

Provider Information

NPI Number: 1629329719
Entity Type: Organization
Organization Name: Creek Road Dental
Primary Specialty: Dentist
Enumeration Date: Sep 28, 2012
Last Updated: Sep 28, 2012

Practice Location

Address: 7369 E CREEK RD
City: Sandy
State: Utah
ZIP Code: 84093-6154
Phone: (801) 566-5577

Authorized Official

Name: DR. TYLER B CARLSON, DMD
Title: MEMBER
Phone: (801) 703-8947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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