Newport Dental - Eastvale (ortho) | |
12636 Limonite Ave Ste 1a Corona CA 92880-4200 | |
(951) 808-4323 | |
Not Available |
Full Name | Newport Dental - Eastvale (ortho) |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 12636 Limonite Ave Ste 1a, 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 |
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Newport Dental - Eastvale (ortho) 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-4200 Ph: (714) 578-6358 | Newport Dental - Eastvale (ortho) 12636 Limonite Ave Ste 1a Corona CA 92880-4200 Ph: (951) 808-4323 |
NPI Number | 1063617330 |
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Provider Enumeration Date | 06/18/2007 |
Last Update Date | 10/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063617330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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