| NPI | 1578779435 |
|---|---|
| Doing Business As | NEWPORT DENTAL WEST COVINA AZUSA |
| Entity Type | Organization |
| Authorized Contact | LORILEE SCHMIDT President 714-578-6358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-10-09 |