NPI 1407374341
Creek Capital Stansbury Park LLC
Practice location
- Address
- 220 Millpond STE 107, Stansbury Park, UT 84074-9760
- Phone
- (435) 843-5437
- Mailing address
- 678 E Vine St, Murray, UT 84107-5546
Authorised official
- Name
- Marci Nicol
- Title
- Coo
- Phone
- (801) 312-7122
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1407374341
- 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.