Individual provider · Type 1 NPI

Eric Carl Edstrom, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Santa Barbara, CA

NPI number 1902004666 Active

Practice location

2780 State St, Suite 4
Santa Barbara, CA 93105-5518

Fax (805) 687-0810

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	36237 (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 1902004666

Eric Carl Edstrom, DDS, M.S.'s National Provider Identifier is 1902004666, issued on Jul 4, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Barbara, CA. The record was last updated on Jul 8, 2007.