Organization
CREATIVE DENTISTS, INC
Active
Other names
Creative Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NGUYEN DDS (CEO)
(510) 477-0811
Entity
Organization
Contact information
Practice address
32700 ALVARADO BLVD, FREMONT, CA 94555-1202
(510) 477-0811
(510) 477-0541
Mailing address
32700 ALVARADO BLVD, FREMONT, CA 94555-1202
(510) 477-0811
(510) 477-0541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44228
CA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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