| Creative Smiles Dental | |
|
17736 San Bernardino Ave Fontana CA 92335-6133 | |
| (909) 822-4363 | |
| Not Available |
| Full Name | Creative Smiles Dental |
|---|---|
| Speciality | Dentist |
| Location | 17736 San Bernardino Ave, Fontana, California |
| Authorized Official Name and Position | Yang H Kim (OWNER) |
| Authorized Official Contact | 9098224363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Smiles Dental 17736 San Bernardino Ave Fontana CA 92335-6133 Ph: (909) 822-4363 | Creative Smiles Dental 17736 San Bernardino Ave Fontana CA 92335-6133 Ph: (909) 822-4363 |
| NPI Number | 1083963995 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083963995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48481 (California) | Primary |
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