Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Smiles Dental

Organization Dentist · NPI 1083963995

Creative Smiles Dental is a Dentist in Fontana, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

17736 San Bernardino Ave
Fontana, CA 92335-6133
Phone: (909) 822-4363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 48481 (CA)

Record details

NPI number1083963995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yang Kim — Owner · (909) 822-4363
NPI enumeratedSeptember 6, 2012
Last updated in NPPESDecember 17, 2014
Mailing address17736 San Bernardino Ave, Fontana, CA 92335-6133

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