Organization · Type 2 NPI

Children's Hospital of Orange County

Oral and Maxillofacial Surgery (Dentist) · Orange, CA

NPI number 1629616792 Active

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Fax (855) 246-2329

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Pediatric Dentistry 1223P0221XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Pediatrics Physician 208000000XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1629616792

Children's Hospital of Orange County's National Provider Identifier is 1629616792, issued on Dec 19, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Orange, CA. The record was last updated on Nov 30, 2020.