Newport Center Dental Group | |
1401 Avocado Ave Suite 404 Newport Beach CA 92660-7720 | |
(949) 640-1122 | |
(949) 640-0929 |
Full Name | Newport Center Dental Group |
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Speciality | Dentist - General Practice |
Location | 1401 Avocado Ave, Newport Beach, California |
Authorized Official Name and Position | Dan J Spears (ADMINISTRATOR) |
Authorized Official Contact | 9496401122 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newport Center Dental Group 1401 Avocado Ave Suite 404 Newport Beach CA 92660-7720 Ph: (949) 640-1122 | Newport Center Dental Group 1401 Avocado Ave Suite 404 Newport Beach CA 92660-7720 Ph: (949) 640-1122 |
NPI Number | 1902013683 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902013683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 37165 (California) | Primary |
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