| NPI | 1164631057 |
|---|---|
| Doing Business As | CREATIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TED H KIMBALL Doctor Dds 530-751-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |