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Organization
CREEKSIDE COMMONS DENTISTRY PLLC
Active
Organization
CREEKSIDE COMMONS DENTISTRY PLLC
Active
Other names
Creekside Premier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DARWIN FERNG (GENERAL DENTIST)
(909) 569-2456
Entity
Organization
Contact information
Practice address
6920 E 128TH AVE, SUITE 160, THORNTON, CO 80602
(909) 569-2456
Mailing address
3912 S WADSWORTH BLVD APT 310, LAKEWOOD, CO 80235-2269
(909) 569-2456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/02/2022
Last updated
09/05/2022
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