NPI | 1720295736 |
---|---|
Doing Business As | NEWPORT DENTAL RIVERSIDE LASIERRA 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 | 2017-10-06 |