Individual provider · Type 1 NPI

Kathleen J. Nuckles, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Los Angeles, CA

NPI number 1831244573 Active

Practice location

10921 Wilshire Blvd, Suite 1003
Los Angeles, CA 90024-3906

Call (310) 208-8273 Map

Fax (310) 208-0104

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X29934 (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 1831244573

Kathleen J. Nuckles, DDS's National Provider Identifier is 1831244573, issued on Jan 24, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.