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Kendall S Woolridge D,d,s Pc
Orthodontics and Dentofacial Orthopedic Dentist in El Segundo, California
NPI 1609149533

Kendall S Woolridge D,d,s Pc is a Orthodontics and Dentofacial Orthopedic Dentist based in El Segundo, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Kendall S Woolridge D,d,s Pc practices in El Segundo, CA. The NPI Number for Kendall S Woolridge D,d,s Pc is 1609149533 and holds a License No. 57096 (California).

The current practice location address for Kendall S Woolridge D,d,s Pc is 310 E Grand Ave Ste 106, El Segundo, CA and can be reached out via phone at 310-648-8781 and via fax at 310-648-8776.

Location: 310 E Grand Ave Ste 106, El Segundo, CA, 90245-3871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609149533
Provider Name
Kendall S Woolridge D,d,s Pc
Credential
Provider Entity Type
Organization
Address
310 E Grand Ave Ste 106, El Segundo, CA, 90245-3871
Phone Number
310-648-8781
Fax Number
310-648-8776
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104006196 01 CA INDIVIDUAL NPI
1609159533 01 CA TYPE 2 NPI
institution
Provider Business Practice Location Address Details
Address
310 E Grand Ave Ste 106
City
El Segundo
State
California
Zip
90245-3871
Phone Number
310-648-8781
Fax Number
310-648-8776
person
Provider Business Mailing Address Details
Address
310 E Grand Ave Ste 106
City
El Segundo
State
California
Zip
90245-3871
Phone Number
310-648-8781
Fax Number
310-648-8776
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
57096 (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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