| Creating Smiles Dental Office | |
|
31940 Temecula Pkwy Ste C-2 Temecula CA 92592-9498 | |
| (951) 302-9800 | |
| (951) 302-6012 |
| Full Name | Creating Smiles Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 31940 Temecula Pkwy Ste C-2, Temecula, California |
| Authorized Official Name and Position | Robert A Witek (PRESIDENT) |
| Authorized Official Contact | 9513029800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Smiles Dental Office 31940 Temecula Pkwy Ste C-2 Temecula CA 92592-9498 Ph: (951) 302-9800 | Creating Smiles Dental Office 31940 Temecula Pkwy Ste C-2 Temecula CA 92592-9498 Ph: (951) 302-9800 |
| NPI Number | 1700025178 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700025178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34443 (California) | Primary |
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