Organization
CREEKSIDE DENTAL SLEEP THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE OBSTAR (OFFICE MANAGER)
(509) 737-1327
Entity
Organization
Contact information
Practice address
216 N EDISON ST, KENNEWICK, WA 99336-1956
(509) 737-0327
(509) 737-1360
Mailing address
216 N EDISON ST, KENNEWICK, WA 99336-1956
(509) 737-0327
(509) 737-1360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010269
WA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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