Creekside Family Dental

NPI #1174073043 in Medford, Oregon

Provider Information

NPI Number: 1174073043
Entity Type: Organization
Organization Name: Creekside Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 4, 2016
Last Updated: Oct 4, 2016

Practice Location

Address: 1234 N RIVERSIDE AVE
City: Medford
State: Oregon
ZIP Code: 97501-4619
Phone: (541) 773-3756

Authorized Official

Name: ANGIE HOLMES
Title: OFFICE MANAGER
Phone: (541) 773-3756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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