Creekside Family Dental PC

NPI #1659408276 in Salem, Oregon

Provider Information

NPI Number: 1659408276
Entity Type: Organization
Organization Name: Creekside Family Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 620 12TH ST SE
City: Salem
State: Oregon
ZIP Code: 97301-4001
Phone: (503) 581-2454

Authorized Official

Name: BRYAN NAKAGAWA, DMD
Title: PRESIDENT
Phone: (503) 581-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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