Organization
CREEK ROAD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER B CARLSON DMD (MEMBER)
(801) 703-8947
Entity
Organization
Contact information
Practice address
7369 E CREEK RD, SANDY, UT 84093-6154
(801) 566-5577
Mailing address
7369 E CREEK RD, SANDY, UT 84093-6154
(801) 566-5577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
590701-8903
UT
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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