Organization · Type 2 NPI

Peninsula Orthodontic Group, Inc

Orthodontics and Dentofacial Orthopedics Dentistry · Redwood City, CA

NPI number 1104005529 Active

Practice location

11 Birch St Ste 100
Redwood City, CA 94062-1480

Call (650) 298-8400 Map

Mailing address

563 Leahy St
Redwood City, CA 94061-3877

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X50540 (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 1104005529

Peninsula Orthodontic Group, Inc's National Provider Identifier is 1104005529, issued on Nov 1, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Redwood City, CA. The record was last updated on Feb 12, 2008.