Whalio Doctors

NPI 1033637970

Creek Capital Ivory Ridge LLC

Organisation Pediatric Dentistry Lehi, UT

Practice location

Address
3401 N Center St STE 250, Lehi, UT 84043-7501
Phone
(801) 407-6520
Mailing address
678 E Vine St STE 10, Murray, UT 84107-5500

Authorised official

Name
Marci Nicol
Title
Coo
Phone
(801) 312-7122

Registered specialties

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X

Registry record

NPI
1033637970
Entity type
Organization
NPI issued
30 Aug 2017
Record last updated
30 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.