| Newport Dental East Los Angeles Ortho | |
|
3635 E 1st St Los Angeles CA 90063-2345 | |
| (323) 269-7367 | |
| Not Available |
| Full Name | Newport Dental East Los Angeles Ortho |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3635 E 1st St, Los Angeles, 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 East Los Angeles Ortho 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-2345 Ph: (714) 578-6358 | Newport Dental East Los Angeles Ortho 3635 E 1st St Los Angeles CA 90063-2345 Ph: (323) 269-7367 |
| NPI Number | 1700093721 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700093721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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