| NPI | 1558804799 |
|---|---|
| Doing Business As | NEWPORT BEACH DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FARZAD FOROUTAN Dentist 949-644-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44476) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |