| NPI | 1215814561 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KYLE GREEN Owner 302-563-4599 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |