Creekside Dental Pllc

NPI #1043955412 in St Louis Park, Minnesota

Provider Information

NPI Number: 1043955412
Entity Type: Organization
Organization Name: Creekside Dental Pllc
Primary Specialty: Dentist
Enumeration Date: May 1, 2022
Last Updated: May 1, 2022

Practice Location

Address: 3340 REPUBLIC AVE STE 130
City: St Louis Park
State: Minnesota
ZIP Code: 55426-4189
Phone: (763) 442-7624

Authorized Official

Name: DR. GABRIEL DE LOS RIOS, DDS
Title: OWNER/DENTIST
Phone: (763) 442-7624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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