Individual provider · Type 1 NPI
Samuel Waddoups, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Murrieta, CA
Practice location
29955 Technology Dr Ste C112
Murrieta, CA 92563-2637
Fax (951) 445-4095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 61987 (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 1962756007
Samuel Waddoups, DDS's National Provider Identifier is 1962756007, issued on Oct 27, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Murrieta, CA. The record was last updated on Feb 6, 2013.