Organization
CANYON CREEK ORTHODONTICS, LLC
Active
Organization
CANYON CREEK ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE RYAN MARSHALL DDS (OWNER)
(801) 704-9786
Entity
Organization
Contact information
Practice address
378 E 400 S, SUITE #3, SPRINGVILLE, UT 84663
(801) 704-9786
(801) 704-9458
Mailing address
378 E 400 S SUITE 3, SPRINGVILLE, UT 84663
(801) 704-9786
(801) 704-9458
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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