Organization · Type 2 NPI

Mario E. Tai, D.m.d., D.m.sc., Inc.

Orthodontics and Dentofacial Orthopedics Dentistry · Northridge, CA

NPI number 1699041798 Active

Practice location

18250 Roscoe Blvd, Suite 315
Northridge, CA 91325-4226

Call (818) 885-8650 Map

Fax (818) 885-7169

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X53735 (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 1699041798

Mario E. Tai, D.m.d., D.m.sc., Inc.'s National Provider Identifier is 1699041798, issued on Mar 22, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Northridge, CA. The record was last updated on Mar 22, 2012.