Organization · Type 2 NPI
Dental Wonderland
Orthodontics and Dentofacial Orthopedics Dentistry · Panorama City, CA
Practice location
8761 Van Nuys Blvd
Panorama City, CA 91402-2401
Fax (818) 891-9571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endodontics | 1223E0200X | 54849 (CA) |
| General Practice Dentistry | 1223G0001X | 52129 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 29281 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 43335 (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…
2 other providers at this address
About NPI 1659599124
Dental Wonderland's National Provider Identifier is 1659599124, issued on Apr 23, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Panorama City, CA. The record was last updated on Sep 11, 2025.