NPI | 1295570372 |
---|---|
Doing Business As | DRY CREEK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DAVID STREET SHIRECLIFFE Owner 209-745-4607 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |