Individual provider · Type 1 NPI

Kathleen Tavarez, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Menlo Park, CA

NPI number 1902064231 Active

Practice location

800 Menlo Ave Ste 101
Menlo Park, CA 94025-4732

Fax (650) 249-3556

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X40340 (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 1902064231

Kathleen Tavarez, DDS, M.S.'s National Provider Identifier is 1902064231, issued on May 22, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Menlo Park, CA. The record was last updated on May 22, 2008.