Individual provider · Type 1 NPI
Shruti Shastry, D.M.D
Orthodontics and Dentofacial Orthopedics Dentistry · Fremont, CA
Practice location
576 Pistache Ter
Fremont, CA 94539-8375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 59638 (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 1164868063
Shruti Shastry, D.M.D's National Provider Identifier is 1164868063, issued on May 17, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fremont, CA. The record was last updated on May 17, 2013.