Organization
KAYSCREEK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC NELSON DDS (OWNER)
(385) 269-0771
Entity
Organization
Contact information
Practice address
349 N FLINT ST, KAYSVILLE, UT 84037-9807
(385) 269-0771
Mailing address
262 E 470 N, BOUNTIFUL, UT 84010-4618
(724) 650-3140
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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