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
—
—
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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