| NPI | 1245852334 |
|---|---|
| Doing Business As | CREEKSIDE DENTISTRY AND IMPLANTOLOGY |
| Entity Type | Organization |
| Authorized Contact | KARL W NEUHAUS COO 716-691-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |