| NPI | 1942036264 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | GILI LITWACK President 516-342-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-11-07 |