Organization
KELLI JUNKER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI JUNKER (OWNER)
(714) 420-0546
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DRIVE #708, NEWPORT BEACH, CA 92660-8604
(949) 640-2970
Mailing address
400 NEWPORT CENTER DRIVE #708, NEWPORT BEACH, CA 92660-8604
(949) 640-2970
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51160
CA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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