| Creekside Family Dental | |
|
1234 N Riverside Ave Medford OR 97501-4619 | |
| (541) 773-3756 | |
| Not Available |
| Full Name | Creekside Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1234 N Riverside Ave, Medford, Oregon |
| Authorized Official Name and Position | Angie Holmes (OFFICE MANAGER) |
| Authorized Official Contact | 5417733756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Family Dental 1234 N Riverside Ave Medford OR 97501-4619 Ph: (541) 773-3756 | Creekside Family Dental 1234 N Riverside Ave Medford OR 97501-4619 Ph: (541) 773-3756 |
| NPI Number | 1174073043 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174073043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1700042313 (Oregon) | Primary |
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