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Organization
THE DENTISTS AT CREEKSIDE PA
Active
Organization
THE DENTISTS AT CREEKSIDE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN AFSHARI DDS (OWNER)
(832) 582-4566
Entity
Organization
Contact information
Practice address
25450 KUYKENDAHL ROAD, 100, TOMBALL, TX 77375
(832) 783-9129
Mailing address
25450 KUYKENDAHL ROAD, 100, TOMBALL, TX 77375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28997
TX
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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