| NPI | 1659777266 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANISLAV MADZAREVIC President 805-462-8710 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA CA31057) |
| Enumeration Date | 2014-11-08 |
| Last Update Date | 2014-11-08 |