Organization
NEWPORT DENTAL SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN SPEARS DDS (ADMINISTRATOR)
(949) 640-1122
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, SUITE 404, NEWPORT BEACH, CA 92660-7720
(949) 640-1122
(949) 640-0929
Mailing address
1401 AVOCADO AVE, SUITE 404, NEWPORT BEACH, CA 92660-7720
(949) 640-1122
(949) 640-0929
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37165
CA
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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