Individual provider · Type 1 NPI
Raphael Separzadeh, DDS, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Tarzana, CA
Practice location
5543 Aura Ave
Tarzana, CA 91356-3005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 56203 (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 1770810343
Raphael Separzadeh, DDS, MSD's National Provider Identifier is 1770810343, issued on Nov 3, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Tarzana, CA. The record was last updated on Apr 1, 2010.