Organization
CREATIVE SMILES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANG H KIM D.D.S. (OWNER)
(909) 822-4363
Entity
Organization
Contact information
Practice address
17736 SAN BERNARDINO AVE, FONTANA, CA 92335-6133
(909) 822-4363
Mailing address
17736 SAN BERNARDINO AVE, FONTANA, CA 92335-6133
(909) 822-4363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48481
CA
Other
Enumeration date
09/06/2012
Last updated
12/17/2014
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