| NPI | 1457567414 |
|---|---|
| Doing Business As | NEWPORT DENTAL EAST LA |
| Entity Type | Organization |
| Authorized Contact | DENNIS R FRATT Sr Vice President 714-428-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-08-08 |