Newport Cosmetic Dental Associates

NPI 1386031151 - Dentist - 1223G0001X

NPI Details
NPI 1386031151
Enumeration Date 04/20/2015
Last Updated 04/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JAMIE JAMIE
Position OFFICE MANAGER
Phone (949) 640-9554
Fax (949) 640-9558
Practice Location
1401 AVOCADO AVE
#502
NEWPORT BEACH CA, 92660-7720, US
Phone (949) 640-9554
Fax (949) 640-9558
Business Location
1401 AVOCADO AVE
#502
NEWPORT BEACH CA, 92660-7720, US
Phone (949) 640-9554
Fax (949) 640-9558
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 60644
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According to our database, Newport Cosmetic Dental Associates NPI is 1386031151, taxonomy code is 1223G0001X and license number is 60644, license state is located at California. Newport Cosmetic Dental Associates physically located at 1401 Avocado Ave, Newport Beach CA, 92660-7720. NPI Number 1033115704 has the healthcare provider type.

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1386031151 NPI number is provided on an as is basis without warranty of any kind. 1386031151 is maintained by the National Plan & Provider Enumeration System. The contents of Newport Cosmetic Dental Associates are for informational purposes only.