| Create Smiles Dental | |
|
1611 Crenshaw Blvd Ste C Torrance CA 90501-7124 | |
| (310) 791-7108 | |
| (310) 791-7142 |
| Full Name | Create Smiles Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1611 Crenshaw Blvd Ste C, Torrance, California |
| Authorized Official Name and Position | Philip Minsuk Chang (CEO) |
| Authorized Official Contact | 4247317096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Smiles Dental 1611 Crenshaw Blvd Ste C Torrance CA 90501-7124 Ph: (424) 731-7096 | Create Smiles Dental 1611 Crenshaw Blvd Ste C Torrance CA 90501-7124 Ph: (310) 791-7108 |
| NPI Number | 1245870765 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245870765 | NPI | - | NPPES |
| 51048 | Other | CA | GENERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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