Organization
CREEKSIDE ORAL & FACIAL SURGERY INC
Active
Other names
Creekside Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MAX ANDERSON DDS MD (PRESIDENT)
(801) 255-2422
Entity
Organization
Contact information
Practice address
7390 S CREEK RD, SUITE 101, SANDY, UT 84093-6119
(801) 255-2422
(801) 255-3013
Mailing address
7390 S CREEK RD, SUITE 101, SANDY, UT 84093-6119
(801) 255-2422
(801) 255-3013
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
315501-9924
UT
Other
Enumeration date
09/30/2015
Last updated
06/30/2016
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