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Organization
CITY CREEK DENTAL, PLLC
Active
Organization
CITY CREEK DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LANDON BYE DDS (OWNER/PARTNER)
(801) 364-7943
Entity
Organization
Contact information
Practice address
175 S WEST TEMPLE STE 100, SALT LAKE CITY, UT 84101-1443
(801) 364-7943
(801) 364-3373
Mailing address
175 S WEST TEMPLE STE 100, SALT LAKE CITY, UT 84101-1443
(801) 364-7943
(801) 364-3373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5673900
UT
261QD0000X
Dental Clinic/Center
7991108
UT
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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