Organization · Type 2 NPI
City Creek Dental, PLLC
Dental Clinic/Center · Salt Lake City, UT
NPI number
1013367036
Active
Practice location
175 S West Temple Ste 100
Salt Lake City, UT 84101-1443
Fax (801) 364-3373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5673900 (UT) |
| Dental Clinic/Center | 261QD0000X | 7991108 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1013367036
City Creek Dental, PLLC's National Provider Identifier is 1013367036, issued on Jun 21, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 21, 2016.