| NPI | 1932599891 |
|---|---|
| Doing Business As | NEWPORT BEACH DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA KANTOR President 317-964-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |