Organization · Type 2 NPI

Fairwood Orthodontics

Orthodontics and Dentofacial Orthopedics Dentistry · Renton, WA

NPI number 1619037157 Active

Practice location

14300 SE Petrovitsky Road
Renton, WA 98058

Fax (425) 235-0288

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE00008957 (WA)

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 1619037157

Fairwood Orthodontics's National Provider Identifier is 1619037157, issued on Dec 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Renton, WA. The record was last updated on Aug 8, 2008.