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Organization
LIFESMILES, PLLC
Active
Organization
LIFESMILES, PLLC
Active
Other names
Creek Road Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRANDA SHIRLENE OKUBO DDS, FAGD (MEMBER)
(801) 916-2779
Entity
Organization
Contact information
Practice address
7369 S CREEK RD, SANDY, UT 84093-6154
(801) 566-5577
(801) 566-4848
Mailing address
10638 S CARRINGTON ST, SANDY, UT 84094-4949
(801) 916-2779
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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