Creative Dimensions In Dentistry
Dentist in Castro Valley, CA. Organization (NPI-2).
NPI number1396957866
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1396957866
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Dimensions In Dentistry
- Organization subpart
- No
- Enumeration date
- May 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | CA | Yes |
Practice location
20265 Lake Chabot RdCastro Valley, CA 94546-5307
Phone 510-881-8010 · Fax 510-538-0120
Mailing address
20265 Lake Chabot RdCastro Valley, CA 94546-5307
Phone 510-881-8010 · Fax 510-538-0120
Authorized official
George David Mackenzie
Manager
5108818010
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All 32 Dentist providers in Castro Valley · All 1,336 providers in Castro Valley
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