| NPI | 1417658741 |
|---|---|
| Doing Business As | ICREATE SMILES |
| Entity Type | Organization |
| Authorized Contact | SAMANEH DAFTARIAN Owner/Dds 650-885-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |