| NPI | 1578752622 |
|---|---|
| Doing Business As | CEDAR CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA D MARR Owner 360-683-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010669) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |