| Creek Capital-riverton Llc | |
|
1275 E Fort Union Blvd Ste 100 Midvale UT 84047-1890 | |
| (801) 918-4135 | |
| Not Available |
| Full Name | Creek Capital-riverton Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1275 E Fort Union Blvd Ste 100, Midvale, Utah |
| Authorized Official Name and Position | Marci Nicol (VP) |
| Authorized Official Contact | 8019184135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creek Capital-riverton Llc 1275 E Fort Union Blvd Ste 100 Midvale UT 84047-1890 Ph: (801) 918-4135 | Creek Capital-riverton Llc 1275 E Fort Union Blvd Ste 100 Midvale UT 84047-1890 Ph: (801) 918-4135 |
| NPI Number | 1801417597 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801417597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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