Kays Creek Smilecare Llc | |
1275 E Fort Union Blvd Ste 100 Midvale UT 84047-1890 | |
(801) 918-4135 | |
Not Available |
Full Name | Kays Creek Smilecare 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 |
---|---|
Kays Creek Smilecare Llc 1275 E Fort Union Blvd Ste 100 Midvale UT 84047-1890 Ph: (801) 918-4135 | Kays Creek Smilecare Llc 1275 E Fort Union Blvd Ste 100 Midvale UT 84047-1890 Ph: (801) 918-4135 |
NPI Number | 1497376198 |
---|---|
Provider Enumeration Date | 05/04/2020 |
Last Update Date | 05/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497376198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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