Organization
CREEKSIDE DENTAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE JEAN CERNOBYL (CHIEF OPERATING OFFICER)
(302) 392-2460
Entity
Organization
Contact information
Practice address
414 CAPITOL TRL, NEWARK, DE 19711-3865
(302) 738-5766
Mailing address
1250 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 392-2460
(302) 392-2499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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