Creek Capital Burg General LLC
Dentist, General Practice in Murray, UT. Organization (NPI-2).
NPI number1396263232
StatusActive
Last updated in NPPESAug 30, 2017
Details
- NPI
- 1396263232
- Entity type
- Organization (NPI-2)
- Legal business name
- Creek Capital Burg General LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2017
- Last updated
- Aug 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
678 E Vine St Ste 10Murray, UT 84107-5500
Phone 801-268-1135 · Fax 801-918-4135
Mailing address
678 E Vine St Ste 10Murray, UT 84107-5500
Phone 801-918-4135
Authorized official
Marci Nicol
Coo
8013127122
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