| NPI | 1487968707 | 
|---|---|
| Doing Business As | NEWPORT DENTAL - AZUSA (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 | 2010-07-28 | 
| Last Update Date | 2017-10-06 |