Organization
CREEK CAPITAL DAYBREAK LLC
Active
Other names
Burg Children's Dentistry & Orthodontics, Burg Children's Dentistry & Orthodontics- Daybreak
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI NICOL (COO)
(801) 918-4135
Entity
Organization
Contact information
Practice address
4775 W DAYBREAK PKWY STE 103, SOUTH JORDAN, UT 84009-5139
(801) 999-4640
Mailing address
678 E VINE ST STE 10, MURRAY, UT 84107-5500
(801) 918-4135
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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