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Organization
NEWPORT COSMETIC DENTAL ASSOCIATES
Active
Organization
NEWPORT COSMETIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MEYER (OFFICE MANAGER)
(949) 640-9554
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, #502, NEWPORT BEACH, CA 92660-7720
(949) 640-9554
(949) 640-9558
Mailing address
1401 AVOCADO AVE, #502, NEWPORT BEACH, CA 92660-7720
(949) 640-9554
(949) 640-9558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38178
CA
1223G0001X
General Practice Dentistry
60644
CA
1223G0001X
General Practice Dentistry
63542
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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