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 |