| Creekside Dental Ellensburg Pllc | |
|
2601 Triple L Loop Ellensburg WA 98926 | |
| (509) 933-4800 | |
| Not Available |
| Full Name | Creekside Dental Ellensburg Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2601 Triple L Loop, Ellensburg, Washington |
| Authorized Official Name and Position | Leslee R Thysell (TEMP OFC MGR) |
| Authorized Official Contact | 5095778279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental Ellensburg Pllc 2601 Triple L Loop Ellensburg WA 98926 Ph: (509) 933-4800 | Creekside Dental Ellensburg Pllc 2601 Triple L Loop Ellensburg WA 98926 Ph: (509) 933-4800 |
| NPI Number | 1275862468 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275862468 | NPI | - | NPPES |
| NONE YET | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7703 (Washington) | Primary |
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