Falling Creek Dental LLC

NPI #1992257372 in Draper, Utah

Provider Information

NPI Number
1992257372
Entity Type
Organization
Organization Name
Falling Creek Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 1, 2016
Last Updated
Nov 1, 2016

Practice Location

Address
112 E 12450 S STE 101
City
Draper
State
Utah
ZIP Code
84020-8057
Phone
(801) 495-3567

Authorized Official

Name
CHAD M GOERCKERITZ
Title
OWNER
Phone
(801) 495-3567

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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