NPI | 1306178967 |
---|---|
Doing Business As | CREEKSIDE ENDODONTICS |
Entity Type | Organization |
Authorized Contact | MARK J YOUNG Owner 916-983-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2010-02-08 |
Last Update Date | 2010-02-08 |