Individual provider · Type 1 NPI
Bert D. Rouleau, DMD MS
Orthodontics and Dentofacial Orthopedics Dentistry · Mount View, CA
Practice location
1174 Castro St, # 120
Mount View, CA 94040
Fax (650) 964-0797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | CA29868 (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 1649287301
Bert D. Rouleau, DMD MS's National Provider Identifier is 1649287301, issued on Aug 2, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mount View, CA. The record was last updated on Jul 8, 2007.