| Creek Capital Daybreak Llc | |
|
4775 W Daybreak Pkwy Ste 103 South Jordan UT 84009-5139 | |
| (801) 999-4640 | |
| Not Available |
| Full Name | Creek Capital Daybreak Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4775 W Daybreak Pkwy Ste 103, South Jordan, Utah |
| Authorized Official Name and Position | Marci Nicol (COO) |
| Authorized Official Contact | 8019184135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creek Capital Daybreak Llc 678 E Vine St Ste 10 Murray UT 84107-5500 Ph: (801) 918-4135 | Creek Capital Daybreak Llc 4775 W Daybreak Pkwy Ste 103 South Jordan UT 84009-5139 Ph: (801) 999-4640 |
| NPI Number | 1750853438 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750853438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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