| 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 |