Individual provider · Type 1 NPI

Marie Doulaverakis, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · San Dimas, CA

NPI number 1508954702 Active

Practice location

923 W Arrow Hwy
San Dimas, CA 91773-2420

Call (909) 592-5599 Map

Fax (909) 599-1191

Mailing address

2860 Michelle, 2nd Floor
Irvine, CA 92606-1009

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	53128 (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 1508954702

Marie Doulaverakis, DDS's National Provider Identifier is 1508954702, issued on Oct 11, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Dimas, CA. The record was last updated on Jul 8, 2007.