NPI | 1063115970 |
---|---|
Doing Business As | NEWPORT SMILE STUDIO |
Entity Type | Organization |
Authorized Contact | ABRAK ETEMAD Owner / Dentist 949-562-9616 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-03-22 |