| NPI | 1255035499 |
|---|---|
| Doing Business As | EIGHT CREEKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRISTINA BOSWORTH Owner 571-265-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-12-12 |