Organization
CREEKSIDE ENDODONTICS, A YOUNG DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WILLIAM YOUNG DDS MMSC (GENERAL PARTNER)
(415) 513-2455
Entity
Organization
Contact information
Practice address
2310 E. BIDWELL ST. #150, FOLSOM, CA 95630
(916) 983-7700
(916) 983-7981
Mailing address
2310 E. BIDWELL ST. #150, FOLSOM, CA 95630
(916) 983-7700
(916) 983-7981
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
56904
CA
1223E0200X
Endodontics
Primary
58227
CA
Other
Enumeration date
07/01/2015
Last updated
09/08/2023
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