| Canyon Creek Orthodontics, Llc | |
|
378 E 400 S Suite #3 Springville UT 84663 | |
| (801) 704-9786 | |
| (801) 704-9458 |
| Full Name | Canyon Creek Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 378 E 400 S, Springville, Utah |
| Authorized Official Name and Position | Kyle Ryan Marshall (OWNER) |
| Authorized Official Contact | 8017049786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Creek Orthodontics, Llc 378 E 400 S Suite 3 Springville UT 84663 Ph: (801) 704-9786 | Canyon Creek Orthodontics, Llc 378 E 400 S Suite #3 Springville UT 84663 Ph: (801) 704-9786 |
| NPI Number | 1346711199 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346711199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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