| NPI | 1255051710 |
|---|---|
| Doing Business As | CREEKSIDE PREMIER DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARWIN FERNG General Dentist 909-569-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-05 |