Creek Capital Oquirrh Park LLC
Dentist, Pediatric Dentistry in West Jordan, UT. Organization (NPI-2).
NPI number1952829897
StatusActive
Last updated in NPPESAug 30, 2017
Details
- NPI
- 1952829897
- Entity type
- Organization (NPI-2)
- Legal business name
- Creek Capital Oquirrh Park LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2017
- Last updated
- Aug 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Other names
- Burg Children'S Dentistry & Orthodontics-Oquirrh Park (Doing Business As)
Practice location
6973 S 4800 W Ste CWest Jordan, UT 84084-7927
Phone 801-840-4833
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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All 12 Pediatric Dentistry providers in West Jordan · All 2,143 providers in West Jordan
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