NPI | 1821529009 |
---|---|
Doing Business As | CREATIVE SMILES |
Entity Type | Organization |
Authorized Contact | AMIT SHAH Owner Dentist 714-738-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 49805) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2017-03-21 |