Individual provider · Type 1 NPI

Kimberly Ann Mahood, DMD, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Santa Rosa, CA

NPI number 1073810107 Active

Practice location

2245 Montgomery Dr
Santa Rosa, CA 95405-4900

Mailing address

199 New Montgomery St, Unit 902
San Francisco, CA 94105-3802

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X57270 (CA)

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 1073810107

Kimberly Ann Mahood, DMD, M.S.D.'s National Provider Identifier is 1073810107, issued on Feb 25, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 25, 2011.