NPI | 1235818378 |
---|---|
Doing Business As | CREEK ROAD DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MIRANDA SHIRLENE OKUBO Member 801-916-2779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-07-17 |
Last Update Date | 2023-07-17 |