| Newport Endodontic Group | |
|
1441 Avocado Ave Ste 401 Newport Beach CA 92660-7705 | |
| (949) 644-0595 | |
| (949) 644-5082 |
| Full Name | Newport Endodontic Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1441 Avocado Ave Ste 401, Newport Beach, California |
| Authorized Official Name and Position | John Buoncristiani (PARTNER) |
| Authorized Official Contact | 9496440595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Endodontic Group 1441 Avocado Ave Ste 401 Newport Beach CA 92660-7705 Ph: (949) 644-0595 | Newport Endodontic Group 1441 Avocado Ave Ste 401 Newport Beach CA 92660-7705 Ph: (949) 644-0595 |
| NPI Number | 1366572679 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366572679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (California) | Primary |
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