| 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 |