NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1043738974
CREEK CAPITAL PARK CITY LLC
678 E VINE ST STE 10
MURRAY
UT
841075500
1508287475
PARK CITY PEDIATRIC DENTISTRY
1901 PROSPECTOR AVE
PARK CITY
UT
840607207
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