| NPI | 1588058960 |
|---|---|
| Doing Business As | CREEKSTONE DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS R DICKSON President/Dentist 801-567-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 264648) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |