NPI | 1528432150 |
---|---|
Doing Business As | CREEKSIDE PARK FAMILY & COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER S ANTON Owner/Dentist 281-351-2055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20978) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |