Organization
WILLOW CREEK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN CUTLER (PRESIDENT)
(801) 947-0505
Entity
Organization
Contact information
Practice address
8757 HIGHLAND DR, SANDY, UT 84093-1698
(801) 947-0505
(801) 942-0703
Mailing address
8757 HIGHLAND DR, SANDY, UT 84093-1698
(801) 947-0505
(801) 942-0703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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