| NPI | 1215505201 |
|---|---|
| Doing Business As | CREEK DENTAL GROUP- MILLCREEK |
| Doing Business As | KIDS DENTAL HOME UNION PARK |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JAMES BOWMAN Owner 405-375-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2023-12-04 |