CREEKSIDE ORAL & FACIAL SURGERY INC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1679943831- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7390 S CREEK RD SUITE 101, SANDY, UT, 840936119
- Phone
- (801) 255-2422
- Fax
- (801) 255-3013
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: UT #315501-9924