| NPI | 1376142547 |
|---|---|
| Doing Business As | CREATIVE SMILES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TAMEKA HOPKINS Owner 386-837-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |