EAGLE CREEK DENTISTRY, INC.

Dentist — General Practice

Code: 1223G0001X

Dentist — Orthodontics and Dentofacial Orthopedics

Code: 1223X0400X

Dental Hygienist

Code: 124Q00000X

Dental Assistant

Code: 126800000X

Clinic/Center — Dental

Code: 261QD0000X

Dentist

Code: 122300000X