| NPI | 1225640600 |
|---|---|
| Doing Business As | CREEKSIDE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAVID ALOYSIUS HALLENBECK Owner 713-944-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |