| NPI | 1679642151 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL KENNEWICK |
| Entity Type | Organization |
| Authorized Contact | FLOYD L PACKARD Partner 509-737-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-09-02 |