Individual provider · Type 1 NPI

Wendell Peter Nordland, DMD MS

Oral and Maxillofacial Surgery (Dentist) · La Jolla, CA

NPI number 1336243765 Active

Practice location

850 Prospect Street
La Jolla, CA 92037

Fax (858) 459-0057

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X28777 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1336243765

Wendell Peter Nordland, DMD MS's National Provider Identifier is 1336243765, issued on Sep 7, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in La Jolla, CA. The record was last updated on Jul 8, 2007.