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Organization
CREEKSIDE DENTAL
Active
Organization
CREEKSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEWIS HANSON DDS (DENTIST/OWNER)
(360) 695-1515
Entity
Organization
Contact information
Practice address
910 NE TENNEY RD STE 117, VANCOUVER, WA 98685-2838
(360) 695-1515
(360) 694-8449
Mailing address
910 NE TENNEY RD STE 117, VANCOUVER, WA 98685-2838
(360) 695-1515
(360) 694-8449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6279
WA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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