| NPI | 1184894602 |
|---|---|
| Doing Business As | NEWPORT HEALTHY SMILES |
| Entity Type | Organization |
| Authorized Contact | JOHNNY WONG President 949-642-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55752) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |