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Westside Pediatric Dental Group
Orthodontics and Dentofacial Orthopedic Dentist in Santa Monica, California
NPI 1235506312

Westside Pediatric Dental Group is a Orthodontics and Dentofacial Orthopedic Dentist based in Santa Monica, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Westside Pediatric Dental Group practices in Santa Monica, CA. The NPI Number for Westside Pediatric Dental Group is 1235506312 and holds a License No. 39266 (California).

The current practice location address for Westside Pediatric Dental Group is 1304 15Th St Ste 206, Santa Monica, CA and can be reached out via phone at 310-451-5748 and via fax at 310-393-9528.

Location: 1304 15Th St Ste 206, Santa Monica, CA, 90404-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235506312
Provider Name
Westside Pediatric Dental Group
Credential
Provider Entity Type
Organization
Address
1304 15Th St Ste 206, Santa Monica, CA, 90404-1811
Phone Number
310-451-5748
Fax Number
310-393-9528
Provider Enumeration Date
08/25/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1304 15Th St Ste 206
City
Santa Monica
State
California
Zip
90404-1811
Phone Number
310-451-5748
Fax Number
310-393-9528
person
Provider Business Mailing Address Details
Address
1304 15Th St Ste 206
City
Santa Monica
State
California
Zip
90404-1811
Phone Number
310-451-5748
Fax Number
310-393-9528
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
59919 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
39266 (California)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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