is a Orthodontics And Dentofacial Orthopedics in , . practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for is 1093767212. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Sole Proprietor | -- |
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NPI Number Detail
NPI Number | 1093767212 |
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Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | DD2276 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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105971 | NM | -- | |
785351 | NM | -- |
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