Organization
CLEAR CREEK DENTISTRY, PLLC
Active
Other names
Clear Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2430 NW MYHRE RD STE 201, SILVERDALE, WA 98383-7669
(360) 692-6332
Mailing address
2430 NW MYHRE RD STE 201, SILVERDALE, WA 98383-7669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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