Organization · Type 2 NPI

Mary M. Jew Dds, A Professional Organization

Periodontics · Tustin, CA

NPI number 1790993913 Active

Practice location

18102 Irvine Blvd, Suite 200
Tustin, CA 92780-3402

Fax (714) 838-1033

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X35410 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1790993913

Mary M. Jew Dds, A Professional Organization's National Provider Identifier is 1790993913, issued on May 19, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tustin, CA. The record was last updated on Feb 4, 2010.