NPI | 1376751560 |
---|---|
Doing Business As | NEWPORT DENTAL - FONTANA (ORTHO) |
Entity Type | Organization |
Authorized Contact | LORILEE SCHMIDT President 714-578-6358 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2007-05-19 |
Last Update Date | 2017-10-09 |