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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