| NPI | 1750552410 |
|---|---|
| Doing Business As | CREEKSIDE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | R. SCOTT ANDERSON Orthodontist 707-452-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |