| NPI | 1992359541 |
|---|---|
| Doing Business As | CREEKSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID EREKSON Owner/Doctor 385-448-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |