Creekside Dental Ellensburg Pllc
NPI #1275862468 in Ellensburg, Washington
Provider Information
- NPI Number
- 1275862468
- Entity Type
- Organization
- Organization Name
- Creekside Dental Ellensburg Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 17, 2009
- Last Updated
- Dec 17, 2009
Practice Location
- Address
- 2601 TRIPLE L LOOP
- City
- Ellensburg
- State
- Washington
- ZIP Code
- 98926
- Phone
- (509) 933-4800
Authorized Official
- Name
- MRS. LESLEE R THYSELL
- Title
- TEMP OFC MGR
- Phone
- (509) 577-8279
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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