Organization
ASSISTANCE LEAGUE OF NEWPORT MESA
Active
Other names
Cheri Harris Children's Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA MULLER MABERRY (PRESIDENT)
(949) 645-2882
Entity
Organization
Contact information
Practice address
2220 FAIRVIEW RD, COSTA MESA, CA 92627-1624
(949) 645-2882
Mailing address
2220 FAIRVIEW RD, COSTA MESA, CA 92627-1624
(949) 645-2882
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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