Organization · Type 2 NPI

Ketcherside Dental Corporation

Orthodontics and Dentofacial Orthopedics Dentistry · Corona, CA

NPI number 1629557517 Active

Practice location

720 Magnolia Ave Ste A1
Corona, CA 92879-3119

Call (951) 737-3800 Map

Fax (951) 737-3937

Mailing address

400 W Stuart Ave Ste 110
Redlands, CA 92374-3129

Other practice locations

  • 1468 Industrial Park Ave, Redlands, CA 92374-2892 · (909) 793-1595
  • 400 W Stuart Ave Ste 110, Redlands, CA 92374-3129 · (909) 793-1595

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X28872 (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 1629557517

Ketcherside Dental Corporation's National Provider Identifier is 1629557517, issued on Aug 10, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Corona, CA. The record was last updated on May 11, 2020.