| Creekside Endodontics | |
|
1665 Creekside Dr Suite 103 Folsom CA 95630-3538 | |
| (916) 983-7700 | |
| (916) 983-7981 |
| Full Name | Creekside Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1665 Creekside Dr, Folsom, California |
| Authorized Official Name and Position | Mark J Young (OWNER) |
| Authorized Official Contact | 9169837700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Endodontics 1665 Creekside Dr Suite 103 Folsom CA 95630-3538 Ph: (916) 983-7700 | Creekside Endodontics 1665 Creekside Dr Suite 103 Folsom CA 95630-3538 Ph: (916) 983-7700 |
| NPI Number | 1306178967 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 02/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306178967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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