Individual provider · Type 1 NPI

Mario EA Wa Tai, DMD, D.M.SC.

Orthodontics and Dentofacial Orthopedics Dentistry · Irvine, CA

NPI number 1962693283 Active

Practice location

4050 Barranca Pkwy, Suite 220
Irvine, CA 92604-7706

Call (646) 708-3709 Map

Fax (949) 861-9889

Mailing address

2803 Ladrillo Aisle
Irvine, CA 92606-8819

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X53735 (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 1962693283

Mario EA Wa Tai, DMD, D.M.SC.'s National Provider Identifier is 1962693283, issued on Aug 5, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Irvine, CA. The record was last updated on Oct 12, 2012.