| Creating Smiles | |
|
31309 Temecula Pkwy Suite 100 Temecula CA 92592-6826 | |
| (951) 302-9800 | |
| (951) 302-6012 |
| Full Name | Creating Smiles |
|---|---|
| Speciality | Dentist |
| Location | 31309 Temecula Pkwy, Temecula, California |
| Authorized Official Name and Position | Robert a Witek (OWNER) |
| Authorized Official Contact | 9513029800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Smiles 31309 Temecula Pkwy Suite 100 Temecula CA 92592-6826 Ph: (951) 302-9800 | Creating Smiles 31309 Temecula Pkwy Suite 100 Temecula CA 92592-6826 Ph: (951) 302-9800 |
| NPI Number | 1356796098 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356796098 | NPI | - | NPPES |
| 1437373446 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34443 (California) | Primary |
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