| NPI | 1427493642 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ZACHARY JOHN CARGILL President 206-818-7843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA de60256076) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |