Organization · Type 2 NPI
Apple Valley Periodontal Associates
Periodontics · Apple Valley, CA
NPI number
1609536416
Active
Practice location
18092 Wika Rd Ste 210
Apple Valley, CA 92307-2132
Mailing address
10630 Town Center Dr Ste 125
Rancho Cucamonga, CA 91730-6889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1609536416
Apple Valley Periodontal Associates's National Provider Identifier is 1609536416, issued on Dec 20, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Apple Valley, CA. The record was last updated on Dec 20, 2021.