| Creative Smile Dental | |
|
32700 Alvarado Blvd Fremont CA 94555-1202 | |
| (510) 477-0811 | |
| (510) 477-0541 |
| Full Name | Creative Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 32700 Alvarado Blvd, Fremont, California |
| Authorized Official Name and Position | Paul Nguyen (CEO) |
| Authorized Official Contact | 5104770811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Smile Dental 32700 Alvarado Blvd Fremont CA 94555-1202 Ph: (510) 477-0811 | Creative Smile Dental 32700 Alvarado Blvd Fremont CA 94555-1202 Ph: (510) 477-0811 |
| NPI Number | 1174776850 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174776850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44228 (California) | Primary |
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