Individual provider · Type 1 NPI
Justine Tanjaya, DDS, MS, PhD
Orthodontics and Dentofacial Orthopedics Dentistry · Arlington, TX
Practice location
1604 New York Ave
Arlington, TX 76010-4724
Mailing address
3790 Cedarplaza Ln Apt 2324
Dallas, TX 75209-6379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 35540 (TX) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1013560598
Justine Tanjaya, DDS, MS, PhD's National Provider Identifier is 1013560598, issued on Jul 23, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Arlington, TX. The record was last updated on Jul 23, 2019.