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Organization
CREEK CAPITAL DENTAL HOLDINGS, LLC
Active
Organization
CREEK CAPITAL DENTAL HOLDINGS, LLC
Active
Other names
Burg Children's Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI NICOL (COO)
(801) 918-4135
Entity
Organization
Contact information
Practice address
678 EAST VINE STREET, STE. #10, MURRAY, UT 84107
(801) 918-4135
Mailing address
678 E VINE ST STE 10, MURRAY, UT 84107-5500
(801) 918-4135
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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