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Mauricio Gonzalez Balut, DDS,MS
Orthodontics and Dentofacial Orthopedic Dentist in San Bernardino, California
NPI 1770346843

Mauricio Gonzalez Balut is a Orthodontics and Dentofacial Orthopedic Dentist based in Loma Linda, CA and is specialized in Orthodontics and Dentofacial Orthopedics. Mauricio Gonzalez Balut practices in San Bernardino, CA and has the professional credentials of DDS,MS. The NPI Number for Mauricio Gonzalez Balut is 1770346843 and holds a License No. SP313 (California).

The current practice location address for Mauricio Gonzalez Balut is 159 W Hospitality Ln Ste 100, San Bernardino, CA and can be reached out via phone at 909-558-4960. You can also correspond with Mauricio Gonzalez Balut through the mailing address at 11092 ANDERSON ST, LOMA LINDA, CA - 92350-1706 (mailing address contact number: 909-558-4603).

Location: 159 W Hospitality Ln Ste 100, San Bernardino, CA, 92350-1706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770346843
Provider Name
Mauricio Gonzalez Balut
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
159 W Hospitality Ln Ste 100, San Bernardino, CA, 92350-1706
Phone Number
909-558-4960
Fax Number
Provider Enumeration Date
02/01/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
159 W Hospitality Ln Ste 100
City
San Bernardino
State
California
Zip
92408-3348
Phone Number
909-558-4960
Fax Number
person
Provider Business Mailing Address Details
Address
11092 Anderson St
City
Loma Linda
State
California
Zip
92350-1706
Phone Number
909-558-4603
Fax Number
909-558-4822
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
SP313 (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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