| Newport Dental - Corona (ortho) | |
|
140 W Ontario Ave Ste 105 Corona CA 92882-5272 | |
| (951) 735-4969 | |
| Not Available |
| Full Name | Newport Dental - Corona (ortho) |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 140 W Ontario Ave Ste 105, Corona, California |
| Authorized Official Name and Position | Lorilee Schmidt (PRESIDENT) |
| Authorized Official Contact | 7145786358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Dental - Corona (ortho) 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-5272 Ph: (714) 578-6358 | Newport Dental - Corona (ortho) 140 W Ontario Ave Ste 105 Corona CA 92882-5272 Ph: (951) 735-4969 |
| NPI Number | 1770788937 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770788937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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