Individual provider · Type 1 NPI
David Wilson Wardlaw, ORTHODONTIST
Orthodontics and Dentofacial Orthopedics Dentistry · Little Rock, AR
Practice location
8315 Cantrell Road, Suite 100
Little Rock, AR 72227
Fax (501) 227-0139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2815 (AR) |
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 1386704385
David Wilson Wardlaw, ORTHODONTIST's National Provider Identifier is 1386704385, issued on Dec 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Little Rock, AR. The record was last updated on Jul 8, 2007.