| Newport Dental - Venice | |
|
1440 Lincoln Blvd Venice CA 90291-3516 | |
| (310) 399-9900 | |
| Not Available |
| Full Name | Newport Dental - Venice |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1440 Lincoln Blvd, Venice, 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 - Venice 100 Spectrum Center Drive Suite 1500 Irvine CA 92618-3298 Ph: (714) 578-6358 | Newport Dental - Venice 1440 Lincoln Blvd Venice CA 90291-3516 Ph: (310) 399-9900 |
| NPI Number | 1558729335 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558729335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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