Individual provider · Type 1 NPI
Gregg Alan Tartakow, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Marina Del Rey, CA
Practice location
4712 Admiralty Way, Unit 675
Marina Del Rey, CA 90292-6905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 54076 (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 1265640635
Gregg Alan Tartakow, DMD's National Provider Identifier is 1265640635, issued on May 18, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Marina Del Rey, CA. The record was last updated on Apr 12, 2012.