Newport Dental - Fountain Valley (ortho) | |
18633 Brookhurst St Fountain Valley CA 92708-6748 | |
(714) 274-4222 | |
(714) 964-5240 |
Full Name | Newport Dental - Fountain Valley (ortho) |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 18633 Brookhurst St, Fountain Valley, 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 - Fountain Valley (ortho) 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-6748 Ph: (714) 578-6358 | Newport Dental - Fountain Valley (ortho) 18633 Brookhurst St Fountain Valley CA 92708-6748 Ph: (714) 274-4222 |
NPI Number | 1285921668 |
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Provider Enumeration Date | 07/06/2011 |
Last Update Date | 10/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285921668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Peter E. Hagen, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18426 Brookhurst Street, #101, Fountain Valley, CA 92708 Phone: 714-965-5255 Fax: 714-965-5253 | |
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