| NPI | 1598138133 |
|---|---|
| Doing Business As | NEWPORT DENTAL - INDIO |
| Entity Type | Organization |
| Authorized Contact | LORILEE SCHMIDT President 714-578-6358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 32504) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 32504) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2017-10-11 |