Individual provider · Type 1 NPI

Christopher John Eitzen, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · San Diego, CA

NPI number 1932276607 Active

Practice location

11616 Iberia Place
San Diego, CA 92128

Fax (858) 676-5016

Mailing address

11508 Freshwind Court
San Diego, CA 92127

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X46180 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X46180 (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 1932276607

Christopher John Eitzen, DDS's National Provider Identifier is 1932276607, issued on Nov 29, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.