| NPI | 1245870765 |
|---|---|
| Doing Business As | CREATE SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHILIP MINSUK CHANG CEO 424-731-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-09-23 |