NPI | 1174776850 |
---|---|
Doing Business As | CREATIVE SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | PAUL NGUYEN CEO 510-477-0811 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44228) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-10-28 |