Organization · Type 2 NPI
John T. Eli, D.m.d., M.s.d., Inc.
Orthodontics and Dentofacial Orthopedics Dentistry · Lake Forest, CA
Practice location
21791 Lake Forest Dr, Suite 204
Lake Forest, CA 92630-2760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 52381 (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…
About NPI 1295914158
John T. Eli, D.m.d., M.s.d., Inc.'s National Provider Identifier is 1295914158, issued on Oct 29, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 29, 2007.