Organization · Type 2 NPI

Columbia Dental Specialty Group

Periodontics · Santa Monica, CA

NPI number 1851790661 Active

Practice location

1807 Wilshire Blvd, Ste A
Santa Monica, CA 90403-5652

Fax (310) 453-6486

Specialties and licenses

TaxonomyCodeLicense
Endodontics 1223E0200X59653 (CA)
Periodontics Primary 1223P0300X53057 (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 1851790661

Columbia Dental Specialty Group's National Provider Identifier is 1851790661, issued on Aug 18, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Santa Monica, CA. The record was last updated on Aug 18, 2014.