Individual provider · Type 1 NPI
Donna Jane Eteson, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Santa Monica, CA
Practice location
2601 Ocean Park Blvd, Suite 304
Santa Monica, CA 90405-5215
Fax (310) 581-5759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 27124 (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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- John S. Kishibay, DMDOrthodontics and Dentofacial Orthopedics Dentistry Santa Monica, CA NPI 1255425609
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- Jose OrtizOrthodontics and Dentofacial Orthopedics Dentistry Santa Monica, CA NPI 1528350519
About NPI 1760678908
Donna Jane Eteson, DMD's National Provider Identifier is 1760678908, issued on Sep 21, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 21, 2007.