Newport Dental - Foothill (ortho) | |
11561 Foothill Blvd Ste 104 Rancho Cucamonga CA 91730-3999 | |
(909) 483-7811 | |
Not Available |
Full Name | Newport Dental - Foothill (ortho) |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 11561 Foothill Blvd Ste 104, Rancho Cucamonga, 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 - Foothill (ortho) 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-3999 Ph: (714) 578-6358 | Newport Dental - Foothill (ortho) 11561 Foothill Blvd Ste 104 Rancho Cucamonga CA 91730-3999 Ph: (909) 483-7811 |
NPI Number | 1689882771 |
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Provider Enumeration Date | 05/20/2007 |
Last Update Date | 10/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689882771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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