| NPI | 1619184637 |
|---|---|
| Doing Business As | NEWPORT DENTAL - WEST COVINA-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 | 2007-05-17 |
| Last Update Date | 2017-10-09 |