| 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 |