Organization · Type 2 NPI

Trent Westernoff DMD MD Inc & Martin Mardirosian DDS MD Apc General PA

Oral and Maxillofacial Surgery (Dentist) · Redondo Beach, CA

NPI number 1376205047 Active

Practice location

1706 S Elena Ave Ste A
Redondo Beach, CA 90277-5715

Fax (310) 375-8625

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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 1376205047

Trent Westernoff DMD MD Inc & Martin Mardirosian DDS MD Apc General PA's National Provider Identifier is 1376205047, issued on Oct 11, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Redondo Beach, CA. The record was last updated on Oct 11, 2021.