Individual provider · Type 1 NPI

Blake E. Marston, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · San Diego, CA

NPI number 1467463521 Active

Practice location

9330 Carmel Mountain Rd, Suite D
San Diego, CA 92129-2157

Call (858) 484-6100 Map

Fax (858) 484-8601

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XD6621 (AZ)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X55966 (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 1467463521

Blake E. Marston, DDS's National Provider Identifier is 1467463521, issued on Aug 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Diego, CA. The record was last updated on Jun 1, 2011.