| NPI | 1609653088 |
|---|---|
| Doing Business As | CREEKSIDE KIDS DENTISTRY |
| Other Name | MICHAEL SYCHRAVA DMD INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SYCHRAVA CEO 925-465-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-01-30 |