| Creekside Dental | |
|
41785 Nicole Ln Ste A3 Temecula CA 92591-3874 | |
| (951) 699-3250 | |
| (951) 699-3830 |
| Full Name | Creekside Dental |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 41785 Nicole Ln Ste A3, Temecula, California |
| Authorized Official Name and Position | Andy Hoang (OWNER) |
| Authorized Official Contact | 9516993250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental 41785 Nicole Ln Ste A3 Temecula CA 92591-3874 Ph: (951) 699-3250 | Creekside Dental 41785 Nicole Ln Ste A3 Temecula CA 92591-3874 Ph: (951) 699-3250 |
| NPI Number | 1508105255 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508105255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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