Organization
CREEK CAPITOL ORTHODONTICS- HUNTER PARK
Active
Other names
Burg Orthodontics Hunter Park
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI NICOL (COO)
(801) 918-4135
Entity
Organization
Contact information
Practice address
2792 S 5600 W, WEST VALLEY, UT 84120-5590
(801) 969-9669
Mailing address
678 E VINE ST STE 10, MURRAY, UT 84107-5500
(801) 918-4135
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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