Creek Capital Jordan Ridge LLC
NPI #1851819791 in West Jordan, Utah
Provider Information
- NPI Number
- 1851819791
- Entity Type
- Organization
- Organization Name
- Creek Capital Jordan Ridge LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Aug 30, 2017
Practice Location
- Address
- 8822 S REDWOOD RD STE 201
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-9336
- Phone
- (801) 727-8905
Authorized Official
- Name
- MARCI NICOL
- Title
- COO
- Phone
- (801) 312-7122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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