| Creekside Endodontics, A Young Dental Group, Inc. | |
|
2310 E. Bidwell St. #150 Folsom CA 95630 | |
| (916) 983-7700 | |
| (916) 983-7981 |
| Full Name | Creekside Endodontics, A Young Dental Group, Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2310 E. Bidwell St. #150, Folsom, California |
| Authorized Official Name and Position | Eric William Young (GENERAL PARTNER) |
| Authorized Official Contact | 4155132455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Endodontics, A Young Dental Group, Inc. 2310 E. Bidwell St. #150 Folsom CA 95630 Ph: (916) 983-7700 | Creekside Endodontics, A Young Dental Group, Inc. 2310 E. Bidwell St. #150 Folsom CA 95630 Ph: (916) 983-7700 |
| NPI Number | 1588047120 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588047120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 56904 (California) | Secondary |
| 1223E0200X | Dentist - Endodontics | 58227 (California) | Primary |
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