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2001 Westcliff Dr Ste 202 Newport Beach CA 92660-5552 | |
| (949) 752-6733 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 Westcliff Dr Ste 202, Newport Beach, California |
| Authorized Official Name and Position | Paola Ramos (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2001 Westcliff Dr Ste 202 Newport Beach CA 92660-5552 Ph: (949) 752-6733 | 2001 Westcliff Dr Ste 202 Newport Beach CA 92660-5552 Ph: (949) 752-6733 |
| NPI Number | 1285336024 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285336024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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