| NPI | 1033200555 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA MARIE EGBERT VP And Treas 425-485-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |