Individual provider · Type 1 NPI

Shahrzad Prater, D.M.D

Orthodontics and Dentofacial Orthopedics Dentistry · Chula Vista, CA

NPI number 1912164468 Active

Practice location

1040 Tierra Del Rey, Suite 203
Chula Vista, CA 91910-7865

Fax (619) 421-8800

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X57070 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XLL-0108-06 (NV)

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 1912164468

Shahrzad Prater, D.M.D's National Provider Identifier is 1912164468, issued on May 21, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chula Vista, CA. The record was last updated on Sep 24, 2008.