| Newport Dental - La Pico (ortho) | |
|
4550 W Pico Blvd # C309 Los Angeles CA 90019-4232 | |
| (323) 602-0590 | |
| (323) 933-3255 |
| Full Name | Newport Dental - La Pico (ortho) |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4550 W Pico Blvd # C309, 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 - La Pico (ortho) 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-4232 Ph: (714) 578-6358 | Newport Dental - La Pico (ortho) 4550 W Pico Blvd # C309 Los Angeles CA 90019-4232 Ph: (323) 602-0590 |
| NPI Number | 1679814636 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679814636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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