# CREEKSIDE DENTAL SLEEP THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538527114
- **Authorized official:** MARIANNE OBSTAR (OFFICE MANAGER)
- **Authorized official phone:** (509) 737-1327

## Contact information

- **Practice address:** 216 N EDISON ST, KENNEWICK, WA 99336-1956
- **Practice address phone:** (509) 737-0327
- **Practice address fax:** (509) 737-1360
- **Mailing address:** 216 N EDISON ST, KENNEWICK, WA 99336-1956
- **Mailing address phone:** (509) 737-0327
- **Mailing address fax:** (509) 737-1360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00010269 | WA | Yes |

## Other

- **Enumeration date:** 02/10/2016
- **Last updated:** 02/10/2016