| Creekside Dental | |
|
910 Ne Tenney Rd Ste 117 Vancouver WA 98685-2838 | |
| (360) 695-1515 | |
| (360) 694-8449 |
| Full Name | Creekside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 910 Ne Tenney Rd Ste 117, Vancouver, Washington |
| Authorized Official Name and Position | David Lewis Hanson (DENTIST/OWNER) |
| Authorized Official Contact | 3606951515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Dental 910 Ne Tenney Rd Ste 117 Vancouver WA 98685-2838 Ph: (360) 695-1515 | Creekside Dental 910 Ne Tenney Rd Ste 117 Vancouver WA 98685-2838 Ph: (360) 695-1515 |
| NPI Number | 1568917888 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568917888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6279 (Washington) | Primary |
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