| NPI | 1750188652 |
|---|---|
| Doing Business As | CREEKSIDE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KAYLEE BERGMAN Orthodontist 913-708-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |