| NPI | 1174982862 |
|---|---|
| Doing Business As | NEWPORT DENTAL - SAN MARCOS |
| Entity Type | Organization |
| Authorized Contact | LORILEEE SCHMIDT President 714-578-6358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2017-10-09 |