Individual
CAROLYN C LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 NEWPORT CENTER DR STE 209, NEWPORT BEACH, CA 92660-7645
(949) 760-1051
(949) 760-2654
Mailing address
400 NEWPORT CENTER DR STE 209, NEWPORT BEACH, CA 92660-7645
(949) 760-1051
(949) 760-2654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29081
CA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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